Autopsy and Case Reports
https://autopsyandcasereports.org/article/doi/10.4322/acr.2023.455
Autopsy and Case Reports
Autopsy Case Report

Bilateral Virchow nodes: an unusual finding of pulmonary small-cell neuroendocrine carcinoma metastasis

Matthew J. Zdilla; Alexander R. Gross; Tara Hajarat; Jeffrey A. Vos

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Abstract

An enlarged left-sided supraclavicular node is a signal node for cancer metastasis. In such a case, the enlarged lymph node is often referred to as a Virchow node. The left-sided nature of the node is due to the drainage of the thoracic duct. So, the enlargement of a Virchow node is typically associated with malignancies, including gastrointestinal, pulmonary, and genitourinary carcinomas, in addition to lymphomas. This report documents a particularly unusual finding: bilateral Virchow nodes, representing metastasis of small-cell neuroendocrine carcinoma.

Keywords

anatomy, carcinoma, lymph nodes, neoplasm metastasis, neoplasms

References

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Submitted date:
06/13/2022

Accepted date:
10/02/2023

Publication date:
11/13/2023

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