A left supraclavicular lymph node enlargement (Virchow's node) is classically associated with which primary tumor?

• A Carcinoma of the left breast
• B Carcinoma of the left lung upper lobe
• C Carcinoma of the stomach or other abdominal/pelvic malignancy ✓
• D Carcinoma of the left thyroid lobe

Explanation

Virchow's node (Troisier's sign) refers to a metastatic left supraclavicular lymph node, classically from intra-abdominal or pelvic malignancies — most commonly gastric carcinoma. Lymph from abdominal and pelvic organs drains through the cisterna chyli into the thoracic duct, which empties into the left subclavian/internal jugular vein junction; retrograde flow or permeation leads to left supraclavicular nodal metastasis. While lung and breast cancers can also involve this node, the classical association in NEET PG questions is with gastric carcinoma.

Reference: BD Chaurasia's Human Anatomy, 8th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.