MAN 70 YO COUGH . NO FEVER. CHEST CT DETECTION IS LEFT LUNG LESION WITH WIDERING OF MEDIASTINUM.
(CT1/ CT2: SUPRA LEFT CLAVICULAR MASS SUSPECTED LYMPH NODES.
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(CT1/ CT2: SUPRA LEFT CLAVICULAR MASS SUSPECTED LYMPH NODES.
ULTRASOUND of SUPRA LEFT CLAVICULAR AREA IS MULTIPLE LYMPH NODES.
US1=LYMPH NODES ROUND 2CM, LOSS HILUS, HYPOECHOIC, HYPOVASCULAR.
US 2 =THE VASCULAR SUPPLY IS INTER-NODES LIKE A RING.
US 3= ELASTOSCAN of THIS NODES WITH CENTRAL 23 kPa.
ULTRASOUND EXAMINATION REPORT IS METASTASIS LYMPH NODES THAT WERE TROISIER-VIRCHOW NODES.
WAIT FOR BIOPSY.
MICROPATHOLOGY REPORT WITH IMMUNOHISTOCHEMISTRY IS NEURO ENDOCRINO-
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MICROPATHOLOGY REPORT WITH IMMUNOHISTOCHEMISTRY IS NEURO ENDOCRINO-
CARCINOMA METASTASIS TO TROISIER -VIRCHOW NODE.
REFERENCE : ANATOMY TROISIER NODE
PICTURE OF DR TROISIER --PROF VIRCHOW.
