A 60yo man presented with a lump in the left supraclavicular region. His appetite is decreased
and he has lost 5kg recently. What is the most probably dx?
a. Thyroid carcinoma
b. Stomach carcinoma
c. Bronchial carcinoma
d. Mesothelioma
e. Laryngeal carcinoma
answer: B
Signs of Metastatic Gastric Carcinoma
Virchow’s Node: left supraclavicular node
Blumer’s Shelf: mass in pouch of Douglas
Krukenberg Tumor: metastases to ovary
Sister Mary Joseph Node: umbilical metastases
Irish’s Node: left axillary nodes
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