A biopsy of a left supraclavicular lymph node
identified a metastatic papillary adenocarcinoma without atypia; some rare follicular structures were filled with eosinophilic material that mimicked a colloid (figure 2).
He presented in August 2010 with a palpable left supraclavicular lymph node
and underwent a radical left cervical lymph node dissection, showing one positive node out of 28.
Supraclavicular lymph node
irradiation is indicated when 4 or more axillary nodes are invaded, usually suggesting a 15-20% risk of supraclavicular lymph node
1) Hodgkin disease characteristically presents as asymptomatic supraclavicular lymph node
enlargement in a young adult, but may also be discovered in the mid or high neck or in the axilla.
A fine needle biopsy of the left supraclavicular lymph node
His physical exam was remarkable only for a 4-cm nontender left supraclavicular lymph node
Cervical non-supraclavicular lymph node
involvement was seen in 3 patients, and supraclavicular lymph nodes
in 4; pulmonary metastases occurred in 7, and liver metastases in 1 patient.
Because a complete restaging did not uncover a different primary tumor or a further metastasis, the diagnosis of nonseminomatous carcinoma primary to the supraclavicular lymph node
Superior vena cava syndrome caused by supraclavicular lymph node
metastasis of renal cell carcinoma.
Physical examination was remarkable for an enlarged right supraclavicular lymph node
Patients with respiratory compromise and small axillary or supraclavicular lymph nodes
should be aspirated with care (if at all), as a pneumothorax could prove fatal in these patients.
The most common locations for extrathoracic metastases include supraclavicular lymph nodes
, adrenal glands, liver, bone, and brain (12) (Figures 8, 9, and 10).