BACKGROUND Virchow's node is a common site for metastasis in cancers of the stomach and pancreas. It is rarely involved in hepatocellular carcinoma. METHOD We report on a patient with hepatoma who had metastasis to the left supraclavicular node at presentation. RESULTS This 25-year-old man presented with abdominal pain, fever, weight loss, hard nodular hepatomegaly and a hard, fixed left su...

We describe a rare case of an anatomical variant of the supraclavicular nerve in the intra-operative setting of clavicle fixation for a fracture. Intra-operatively it was noted that one of the supraclavicular nerves was passing through a foramen in the clavicle shaft. A 60-year-old gentleman presented with a displaced multifragmentary fracture of the left clavicle after a fall. Plate fixation w...

We read with interest the case series of isolated supraclavicular lymph node metastasis in pancreatic adenocarcinoma published in November 2010 edition of JOP. J Pancreas (Online) by Soman et al. [1]. Supraclavicular lymph nodes are a common site of metastases in breast cancer, lung cancer, gastroesophageal cancer and lymphoma [2]. Supraclavicular lymph node metastases in pancreatic cancer are ...

Radiation pneumonitis is a well-documented side effect of radiation therapy for breast cancer. The purpose of this study was to compare combined photon-electron, photon-only, and electron-only plans in the radiation treatment of the supraclavicular lymph nodes. In total, 13 patients requiring chest wall and supraclavicular nodal irradiation were planned retrospectively using combined photon-ele...

BACKGROUND Brown adipose tissue (BAT) has emerged as a novel player in energy homeostasis in humans and is considered a potential new target for combating obesity and related diseases. The current 'gold standard' for quantification of BAT volume and activity is cold-induced 18F-FDG uptake in BAT. However, use of this technique is limited by cost and radiation exposure. Given the fact that BAT i...

A 49-year-old woman was admitted to the hospital with supraclavicular lymph node swelling. On a chest x-ray film, a 4 x 4-cm nodular shadow was observed in the right middle lung field. The white blood cell count was 10,100/cu mm, showing 44 percent abnormal lymphocytes with lobulated nuclei. Since HTLV-I antibodies were markedly positive, she was diagnosed as having ATL. Transbronchial tumor bi...

HISTORY This was the third UCLA hospital admission for this 66-year-old female. Twenty-seven years ago the patient had breast cancer and underwent a left radical mastectomy without chemotherapy, and/or totalbody bone scanning. She then had recurrence in the left supraclavicular fossa involving the lymph nodes and the brachial plexus. She was treated with telecobalt beam over a single anterior d...

BACKGROUND Rates and risk factors of local, axillary and supraclavicular recurrences can guide patient selection and target for postmastectomy radiotherapy (PMRT). PATIENTS AND METHODS Local, axillary and supraclavicular recurrences were evaluated in 8106 patients enrolled in 13 randomized trials. Patients received chemotherapy and/or endocrine therapy and mastectomy without radiotherapy. Med...

PURPOSE The purpose of this module is to review the main ultrasound-guided approaches used for regional anesthesia of the upper limb. PRINCIPAL FINDINGS The anatomical configuration of the upper limb, with nerves often bundled around an artery, makes regional anesthesia of the arm both accessible and reliable. In-depth knowledge of upper limb anatomy is required to match the blocked territory...

OBJECTIVE Long-term results after surgery for thoracic outlet syndrome (TOS) are reviewed in terms of personal histories and surgical techniques. METHODS Forty-eight operations were performed in 37 patients. In 21 instances, the picture was one of ordinary TOS, in eight TOS was traumatic and in nine the picture was sub-acute. Cervical ribs were excised through a supraclavicular approach (in s...