CASE 470: TROISIER-VIRCHOW NODES, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

MAN 70 YO  COUGH . NO FEVER. CHEST CT   DETECTION  IS LEFT LUNG  LESION  WITH WIDERING OF MEDIASTINUM.
(CT1/ CT2:   SUPRA LEFT CLAVICULAR  MASS SUSPECTED LYMPH NODES.

ULTRASOUND  of SUPRA LEFT CLAVICULAR  AREA IS  MULTIPLE LYMPH NODES.

US1=LYMPH NODES ROUND 2CM, LOSS HILUS, HYPOECHOIC,  HYPOVASCULAR.

US 2 =THE VASCULAR SUPPLY IS  INTER-NODES  LIKE A RING.

US 3= ELASTOSCAN of THIS NODES WITH CENTRAL 23 kPa.

ULTRASOUND EXAMINATION REPORT IS METASTASIS  LYMPH NODES   THAT WERE TROISIER-VIRCHOW NODES.

WAIT FOR  BIOPSY.
MICROPATHOLOGY REPORT WITH  IMMUNOHISTOCHEMISTRY  IS   NEURO ENDOCRINO-

CARCINOMA METASTASIS TO  TROISIER -VIRCHOW NODE.

REFERENCE :  ANATOMY TROISIER NODE

                         PICTURE OF  DR TROISIER --PROF VIRCHOW.