RT Book, Section
A1 Barlotta, Kevin S.
A1 Stack, Lawrence B.
A1 Knoop, Kevin J.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181040981
T1 Supraclavicular Adenopathy
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181040981
RD 2024/04/18
AB Adenopathy  or  a  mass  in  the  supraclavicular  fossa  should  heighten  suspicion  for  metastatic  or  locally  invasive  disease.  A  Virchow  node,  also  called  a  sentinel  node  (Troisier  sign),  is  a  left  supraclavicular  node  in  the  area  where  the  thoracic  duct  enters  the  superior  vena  cava  (SVC).  This  node,  located  behind  the  sternocleidomastoid  muscles,  suggests  metastatic  abdominal  cancer,  particularly  gastric  cancer  spread  via  lymphatics.  Carcinoma  affecting  right  supraclavicular  nodes  often  arises  from  cancer  of  the  breast  or  lung  and  is  typically  lateral  to  a  Virchow  node.