Virchow’s node : A mystery in young adults

Abstract

Virchow’s node is a lymphnode in (Lt) supraclavicular fossa. It receives lymphatic supply from abdominopelvic region and hence it’s abnormal enlargement signifies metastasis from primary malignancy either in gastrointestinal tract or genitourinary tract. Apart from the commonly recognized primary sites, 4.5-5% of primary testicular cancers are also known to metastasize to the left supraclavicular lymph node. This case report throws light on the importance of considering primary germ cell tumor of the testis as one of the differential diagnoses, while aspirating a Virchow’s lymph node,especially in young male patients besides emphasizing the need for a thorough clinical examination

Keywords

• virchow’s node
• metastasis
• germ cell tumour
• testis