Background: The supraclavicular approach to brachialplexus block (SCB) is indicated for operations of upper extremity distal the shoulder; infraclavicular (ICB) arm, elbow, wrist, and hand. Objective study was compare brachial plexus with in limb surgeries using peripheral nerve stimulator.Methods: This prospective conducted among 78 patients, 39 each group block, posted various on elective or ...

A 72-year-old male was admitted with painful swelling of his left arm. Physical examination revealed supraclavicular lymphadenopathy with swollen left arm and a stony-hard prostate on rectal examination. Routine blood tests were normal. Doppler test showed deep vein thrombosis in the left arm. Tomography of chest, abdomen and pelvis showed generalized lymphadenopathy, suggesting lymphoma. Biops...

Head and neck surgery has witnessed an increase in microvascular reconstructive procedures with free flaps over the last 20 years as they offer efficient functional recovery. Nevertheless, under certain circumstances they may be contraindicated or cannot be used. We present the use of supraclavicular pedicled flap in three patients with different recipient sites. All patients had acceptable fun...

We report a case of a 70-year-old man who presented with abdominal pain and weight loss, with initial imaging showing simultaneous mass lesions in the pancreas and lungs along with extensive lymphadenopathy in the thorax up to the left supraclavicular region. Core biopsies of the left supraclavicular lymph node showed squamous cell carcinoma, which required differentiation between secondary and...

A 20-year-old white man sought medical attention after noting the development of nontender masses in the left supraclavicular and left flank regions. There was no history of trauma, recent illness, prior similar masses, fever, chills, weight loss, or other symptoms. Past medical history was notable only for the excision of a “rib cyst” at age 12. He did not smoke, use alcohol or take any medica...

VMAT is an important tool in the treatment of head and neck cancers, many of which also require treatment to the supraclavicular lymph nodes. However, full VMAT arcs treating this nodal region necessarily cause entrance beam to pass through patients' shoulders. Thus, interfractional variations in shoulder position may cause unwanted dose perturbations. To assess this possibility, six patients u...

A Doppler ultrasound bloodflow detector was used to localize the third division of the subclavian artery, rendering the supraclavicular approach to the brachial plexus safer and highly successful.

Primary mediastinal seminoma is a relatively rare tumor usually located in the anterior mediastinum. We report here an extremely rare case of a 66-year-old man with primary seminoma in the middle mediastinum. A physical examination showed lymphadenopathy in the right supraclavicular area. A chest CT confirmed the presence of a tumor occupying the retrotracheal space. A histological examination ...

CONTEXT Involvement of the peripancreatic lymph nodes by tuberculosis is rare and the clinical presentation varies. It can mimic cystic neoplasms of the pancreas. CASE REPORT We report the case of a patient having peripancreatic tuberculosis who presented with fever, jaundice, supraclavicular lymphadenopathy and weight loss. Imaging and tumor markers also suggested a pancreatic malignancy. MR...

Prostate cancer usually metastasizes to the regional lymph nodes, and distal metastases to supraclavicular lymph nodes are rarely reported, especially as an initial presentation. Limited case reports describe cervical lymphadenopathy as the initial presentation of metastatic prostate cancer, and often with widely disseminated disease. Patients with this initial presentation rarely undergo digit...