Troisier sign

Changed by Daniel J Bell, 13 Feb 2018

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Troisier sign is the clinical finding of a hard and enlarged left supraclavicular node (Virchow node), and is considered a sign of metastatic abdominal malignancy.

Terminology

It is sometimes referred to as the Virchow node, which is the name given by Dr Rudolf Virchow (1821-1902)6, a German pathologist, to the left supraclavicular lymph node but not necessarily to pathologica pathological lymphadenopathy 1.

Pathology

The left supraclavicular lymph node drains via the thoracic duct, the abdomen, and thorax. It is the junction where incoming lymph is introduced back inreturned to the venous circulation through the left subclavian vein. Hence, any malignancy arising in these territories can be responsible for Troisier sign.

History and etymology

It was described by Dr Charles Emile-Emile Troisier(1844-1919) 5, a French pathologist, in 1889 2.

  • -<p><strong>Troisier sign</strong> is the clinical finding of a hard and enlarged left supraclavicular node (Virchow node), and is considered a sign of metastatic abdominal malignancy.</p><h4>Terminology</h4><p>It is sometimes referred to as <strong>Virchow node</strong>, which is the name given by Dr Rudolf Virchow (1821-1902), a German pathologist, to the left <a href="/articles/supraclavicular-lymph-node">supraclavicular lymph node</a> but not necessarily to pathologic <a href="/articles/lymph-node-enlargement">lymphadenopathy</a> <sup>1</sup>.</p><h4>Pathology</h4><p>The left supraclavicular lymph node drains via the <a href="/articles/thoracic-duct">thoracic duct</a>, the abdomen, and thorax. It is the junction where incoming lymph is introduced back in the venous circulation through the left subclavian vein. Hence, any malignancy arising in these territories can be responsible for Troisier sign.</p><h4>History and etymology</h4><p>It was described by <strong>Dr Charles Emile Troisier</strong>, a French pathologist, in 1889 <sup>2</sup>.</p>
  • +<p><strong>Troisier sign</strong> is the clinical finding of a hard and enlarged left supraclavicular node (Virchow node), and is considered a sign of metastatic abdominal malignancy.</p><h4>Terminology</h4><p>It is sometimes referred to as the <strong>Virchow node</strong>, which is the name given by <strong>Rudolf Virchow</strong> (1821-1902) <sup><span style="font-size:10.8333px">6</span></sup>, a German pathologist, to the left <a href="/articles/supraclavicular-lymph-node">supraclavicular lymph node</a> but not necessarily to a pathological <a href="/articles/lymph-node-enlargement">lymphadenopathy</a> <sup>1</sup>.</p><h4>Pathology</h4><p>The left supraclavicular lymph node drains via the <a href="/articles/thoracic-duct">thoracic duct</a>, the abdomen, and thorax. It is the junction where incoming lymph is returned to the venous circulation through the left subclavian vein. Hence, any malignancy arising in these territories can be responsible for Troisier sign.</p><h4>History and etymology</h4><p>It was described by <strong>Charles-Emile Troisier </strong>(1844-1919) <sup>5</sup>, a French pathologist, in 1889 <sup>2</sup>.</p>

References changed:

  • 5. Karamanou M, Laios K, Tsoucalas G, Machairas N, Androutsos G. Charles-Emile Troisier (1844-1919) and the clinical description of signal node. (2014) Journal of B.U.ON. : official journal of the Balkan Union of Oncology. 19 (4): 1133-5. <a href="https://www.ncbi.nlm.nih.gov/pubmed/25536635">Pubmed</a> <span class="ref_v4"></span>
  • 6. Walter E, Scott M. The life and work of Rudolf Virchow 1821-1902: "Cell theory, thrombosis and the sausage duel". (2017) Journal of the Intensive Care Society. 18 (3): 234-235. <a href="https://doi.org/10.1177/1751143716663967">doi:10.1177/1751143716663967</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/29118836">Pubmed</a> <span class="ref_v4"></span>

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