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Virchow's NodeAka: Sentinel Node, Signal Node, Troisier's Node

Signs
1. Single lymph node enlargement
  1. Left Supraclavicular Lymphadenopathy
  2. Behind clavicular head of sternocleidomastoid
2. Difficult to localize due to deep location
3. Technique pointers
  1. Palpate behind anterior head sternocleidomastoid
  2. Perform exam with patient using Valsalva maneuver
Interpretation
1. Indicates metastasis from abdominal lesion
References
1. Degowin (1987) Diagnostic Exam, Macmillan, p. 222
2. Wilson (1991) Harrison's Internal Medicine, p. 354-6

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.

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Virchow's NodeAka: Sentinel Node, Signal Node, Troisier's Node

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