Virchow’s Node: A Look Beyond Gut Carcinoma

Authors

  • Bharath c Vijayanagar Institute of Medical Sciences
  • Komala M Vijayanagar Institute of Medical Sciences

Keywords:

Key words, Virchow’s Node, Urothelial Carcinoma, FNAC, Metastases

Abstract

Virchow’s node, left supraclavicular lymph node contains metastasis of many abdominal visceral malignancies. Urothelial carcinoma comprises 90% of all primary bladder tumors with metastases usually limited to the pelvic nodes. Though distant lymph node involvement is rare but cannot be entirely overlooked. Presence of Virchow’s node with bladder tumor is considered as incurable metastatic disease. A 40 year old male presented with history of fever, intermittent hematuria and burning micturition since one week. Incidentally left supraclavicular lymph node was found to be enlarged. FNAC showed the features of urothelial carcinoma. Patient was subjected to further relevant investigations. CT-Scan showed well defined enhancing lesion with intra-luminal extension. Biopsy was done which revealed primary tumor to be urothelial carcinoma of bladder. Supraclavicular lymph node metastases are rare in this case and indicate widespread disease with poor prognosis. Conclusion: This case is a rare presentation of urothelial carcinoma metastases to Virchow’s node. Picking up nodal metastases may influence therapeutic decisions and FNAC may be a useful tool in diagnosing such metastases with certainty.

Author Biographies

Bharath c, Vijayanagar Institute of Medical Sciences

Corresponding author

Pathology departrment

Professor & Head

Komala M, Vijayanagar Institute of Medical Sciences

Second author

References

Seneviratne LN, Jayasundare JMNRK, Perera ND. Virchow’s node: An unheard site of metastatic bladder cancer. Sri Lanka J Urol 10:28-30, 2009.

Shinagarel AB, Ramaiya NH, Jagannathan JP, Fennessy FM, Taplin ME, Van den Abbeele AD. Metastatic pattern of bladder Cancer: Correlation with the characteristics of the primary tumor. AJR Am J Roentgenol 196:117-122, 2011.

Tunio MA, AlAsiri M, Bayoumi Y, Fareed M, Ahmad S. Cervical lymph node metastasis from transitional cell carcinoma of urinary bladder: Case report and review of literature. J Solid Tumors 2:59-62, 2012.

Ogunyemi O, Rojas A, Hematpour K, Rogers D, Head C, Bennett C. Metastasis of genitourinary tumors to the head and neck region. Eur Arch Otorhinolaryngol 267:273-279, 2010.

Hessan H, Strauss M, Sharkey FE. Urogenital tract carcinoma metastatic to the head and neck. Laryngoscope 96:1352–1356, 1986.

Downloads

Published

2014-04-10

Issue

Vol. 1 No. 2 (2014)

Section

Articles

License

Authors who publish with the American Journal of Experimental and Clinical Resaerch (AJECR) agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-NC-ND) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).