Cervical metastatic adenopathy in systemic malignancy from infraclavicular primary tumor
Virchow node is left supraclavicular nodal metastasis
Usually abdominal or pelvic primary malignancy
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Nie J et al: The value of CEUS in distinguishing cancerous lymph nodes from the primary lymphoma of the head and neck. Front Oncol. 10:473, 2020
Dangore SB et al: Evaluation of the efficacy of colour Doppler ultrasound in diagnosis of cervical lymphadenopathy. Dentomaxillofac Radiol. 37(4):205-12, 2008
Chan JM et al: Ultrasonography of abnormal neck lymph nodes. Ultrasound Q. 23(1):47-54, 2007
King AD et al: Malignant cervical lymphadenopathy: diagnostic accuracy of diffusion-weighted MR imaging. Radiology. 245(3):806-13, 2007
Zenk J et al: Neck lymph nodes: prediction by computer-assisted contrast medium analysis? Ultrasound Med Biol. 33(2):246-53, 2007
Abdel Razek AA et al: Role of diffusion-weighted MR imaging in cervical lymphadenopathy. Eur Radiol. 16(7):1468-77, 2006
Yano M et al: Prognosis of patients who develop cervical lymph node recurrence following curative resection for thoracic esophageal cancer. Dis Esophagus. 19(2):73-7, 2006
King AD et al: Human cervical lymphadenopathy: evaluation with in vivo 1H-MRS at 1.5 T. Clin Radiol. 60(5):592-8, 2005
Mevio E et al: The role of positron emission tomography (PET) in the management of cervical lymph nodes metastases from an unknown primary tumour. Acta Otorhinolaryngol Ital. 24(6):342-7, 2004
Fischbein NJ et al: Assessment of metastatic cervical adenopathy using dynamic contrast-enhanced MR imaging. AJNR Am J Neuroradiol. 24(3):301-11, 2003
Giridharan W et al: Lymph node metastases in the lower neck. Clin Otolaryngol. 28(3):221-6, 2003
Weissman JL: Building a better mousetrap: the diagnosis of metastatic cervical adenopathy. AJNR Am J Neuroradiol. 24(3):297, 2003
Ahuja A et al: An overview of neck node sonography. Invest Radiol. 37(6):333-42, 2002
Sato F et al: Paratracheal lymph node metastasis is associated with cervical lymph node metastasis in patients with thoracic esophageal squamous cell carcinoma. Ann Surg Oncol. 9(1):65-70, 2002
Steinkamp HJ et al: Current status of power Doppler and color Doppler sonography in the differential diagnosis of lymph node lesions. Eur Radiol. 12(7):1785-93, 2002
Zuur CL et al: Diagnosis and treatment of isolated neck metastases of adenocarcinomas. Eur J Surg Oncol. 28(2):147-52, 2002
Ahuja A et al: Lymph node hilus: gray scale and power Doppler sonography of cervical nodes. J Ultrasound Med. 20(9):987-92; quiz 994, 2001
Ahuja A et al: Power Doppler sonography of cervical lymphadenopathy. Clin Radiol. 56(12):965-9, 2001
Asai S et al: Ultrasonographic differentiation between tuberculous lymphadenitis and malignant lymph nodes. J Ultrasound Med. 20(5):533-8, 2001
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KEY FACTS
Terminology
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TERMINOLOGY
Definitions
Cervical metastatic adenopathy in systemic malignancy from infraclavicular primary tumor
Virchow node is left supraclavicular nodal metastasis
Usually abdominal or pelvic primary malignancy
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Nie J et al: The value of CEUS in distinguishing cancerous lymph nodes from the primary lymphoma of the head and neck. Front Oncol. 10:473, 2020
Dangore SB et al: Evaluation of the efficacy of colour Doppler ultrasound in diagnosis of cervical lymphadenopathy. Dentomaxillofac Radiol. 37(4):205-12, 2008
Chan JM et al: Ultrasonography of abnormal neck lymph nodes. Ultrasound Q. 23(1):47-54, 2007
King AD et al: Malignant cervical lymphadenopathy: diagnostic accuracy of diffusion-weighted MR imaging. Radiology. 245(3):806-13, 2007
Zenk J et al: Neck lymph nodes: prediction by computer-assisted contrast medium analysis? Ultrasound Med Biol. 33(2):246-53, 2007
Abdel Razek AA et al: Role of diffusion-weighted MR imaging in cervical lymphadenopathy. Eur Radiol. 16(7):1468-77, 2006
Yano M et al: Prognosis of patients who develop cervical lymph node recurrence following curative resection for thoracic esophageal cancer. Dis Esophagus. 19(2):73-7, 2006
King AD et al: Human cervical lymphadenopathy: evaluation with in vivo 1H-MRS at 1.5 T. Clin Radiol. 60(5):592-8, 2005
Mevio E et al: The role of positron emission tomography (PET) in the management of cervical lymph nodes metastases from an unknown primary tumour. Acta Otorhinolaryngol Ital. 24(6):342-7, 2004
Fischbein NJ et al: Assessment of metastatic cervical adenopathy using dynamic contrast-enhanced MR imaging. AJNR Am J Neuroradiol. 24(3):301-11, 2003
Giridharan W et al: Lymph node metastases in the lower neck. Clin Otolaryngol. 28(3):221-6, 2003
Weissman JL: Building a better mousetrap: the diagnosis of metastatic cervical adenopathy. AJNR Am J Neuroradiol. 24(3):297, 2003
Ahuja A et al: An overview of neck node sonography. Invest Radiol. 37(6):333-42, 2002
Sato F et al: Paratracheal lymph node metastasis is associated with cervical lymph node metastasis in patients with thoracic esophageal squamous cell carcinoma. Ann Surg Oncol. 9(1):65-70, 2002
Steinkamp HJ et al: Current status of power Doppler and color Doppler sonography in the differential diagnosis of lymph node lesions. Eur Radiol. 12(7):1785-93, 2002
Zuur CL et al: Diagnosis and treatment of isolated neck metastases of adenocarcinomas. Eur J Surg Oncol. 28(2):147-52, 2002
Ahuja A et al: Lymph node hilus: gray scale and power Doppler sonography of cervical nodes. J Ultrasound Med. 20(9):987-92; quiz 994, 2001
Ahuja A et al: Power Doppler sonography of cervical lymphadenopathy. Clin Radiol. 56(12):965-9, 2001
Asai S et al: Ultrasonographic differentiation between tuberculous lymphadenitis and malignant lymph nodes. J Ultrasound Med. 20(5):533-8, 2001
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