Virchow's node

A 57-year-old man presented to us with epigastric pain, decreased appetite, weight loss (8 kg) for 2 months prior to presentation. He noted a lump on the left side of the neck for 15 days. He was a chronic smoker, smoking two packs of bidi per day for about 20 years. On examination, he had a 3.5×4 cm, firm, non-tender lump in the left supraclavicular region between the two heads of the sterno-cleidomastoid muscle, that is, Virchow's node (figure 1 …