Virchow node

ウィルヒョウ結節、Virchow結節

WordNet

1. used to express refusal or denial or disagreement etc or especially to emphasize a negative statement; "no, you are wrong"
2. a negative; "his no was loud and clear"
3. referring to the degree to which a certain quality is present; "he was no heavier than a child" (同)no more
4. not in any degree or manner; not at all; "he is no better today"
5. quantifier; used with either mass nouns or plural count nouns for indicating a complete or almost complete lack or zero quantity of; "we have no bananas"; "no eggs left and no money to buy any"; "have you no decency?"; "did it with no help"; "Ill get you there in no time"
6. sway gently back and forth, as in a nodding motion; "the flowers were nodding in the breeze"
7. be almost asleep; "The old man sat nodding by the fireplace"
8. let the head fall forward through drowsiness; "The old man was nodding in his chair"
9. the act of nodding the head
10. a sign of assent or salutation or command
11. express or signify by nodding; "He nodded his approval"
12. lower and raise the head, as to indicate assent or agreement or confirmation; "The teacher nodded when the student gave the right answer"
13. any thickened enlargement (同)knob, thickening
14. (botany) the small swelling that is the part of a plant stem from which one or more leaves emerge (同)leaf node
15. a connecting point at which several lines come together
16. (computer science) any computer that is hooked up to a computer network (同)client, guest
17. (astronomy) a point where an orbit crosses a plane
18. (physics) the point of minimum displacement in a periodic system
19. any bulge or swelling of an anatomical structure or part
20. German pathologist who recognized that all cells come from cells by binary fission and who emphasized cellular abnormalities in disease (1821-1902) (同)Rudolf Virchow, Rudolf Karl Virchow

PrepTutorEJDIC

1. 《名詞の前に置いて》『一つも』(『一人も,少しも』)・・・『ない』 / 《補語につけて》『決して・・・でない』 / 《省略文で》・・・なし;・・・お断り / 《話》少ししか(あまり)・・・ない / (肯定の問いに対して)『いいえ』;(否定の問いに対して)はい,ええ / 《not, norの前に挿入して》『いや』,否 / 《形容詞の前に置その形容詞を否定して》…どころではない / 《比較級の前に置いて》ちっとも…でない,…と全く同じ / 《… or no の形で》…であってもなくても / 《驚き・困惑・不信などを表して》とんでもない / 《単数形で》『拒否』,「『いいえ』」という返事 / 《複数形で》反対[投]票
2. (承諾・あいさつ・合図などで)『うなずく』,会釈する / (眠くて)『こっくりする』,(油断して)うとうとする《+off》 / 〈草木・穂などが〉揺れる / (承諾・あいさつなどで)〈頭〉‘を'『うなずかせる』 / …‘を'うなずいて示す / 《副詞[句]を伴って》〈人〉‘に'うなずいて示す / 《同意・承諾・あいさつ・命令など,また時には拒絶を表して》(…に対する)『うなずき』,『会釈』《+『to』+『名』》;(眠気による)こっくり
3. (茎・幹の)節(ふし) / (体組織にできた)結節,こぶ(リンパ瘤(りゅう)など) / (天体の軌道の)交点 / (物事の)中心点

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/08/03 15:20:21」(JST)

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[Wiki en表示]

Virchow's node
Regional lymph tissue. (Supraclavicular near top, in green.)⋅
Deep Lymph Nodes 1. Submental 2. Submandibular (Submaxillary) Anterior Cervical Lymph Nodes (Deep) 3. Prelaryngeal 4. Thyroid 5. Pretracheal 6. Paratracheal Deep Cervical Lymph Nodes 7. Lateral jugular 8. Anterior jugular 9. Jugulodigastric Inferior Deep Cervical Lymph Nodes 10. Juguloomohyoid 11. Supraclavicular (scalene)
Gray's	p.697
Anatomical terminology

Virchow's node (or signal node) is a lymph node in the left supraclavicular fossa (the area above the left clavicle). It takes its supply from lymph vessels in the abdominal cavity. Virchow's node is also sometimes coined "the seat of the devil" given its ominous association with malignant disease. The finding of an enlarged, hard node (also referred to as Troisier's sign) has long been regarded as strongly indicative of the presence of cancer in the abdomen, specifically gastric cancer, that has spread through the lymph vessels. It is sometimes called the signal node or sentinel node for the same reason. Despite this, the concept is not directly related to the sentinel node procedure sometimes used in cancer surgery, and it is also unrelated to the "sentinel gland" of the greater omentum.

It is named after Rudolf Virchow (1821–1902), the German pathologist who first described the gland and its association with gastric cancer in 1848. The French pathologist Charles Emile Troisier noted in 1889 that other abdominal cancers, too, could spread to the node.

Clinical significance

Malignancies of the internal organs can reach an advanced stage before giving symptoms. Stomach cancer, for example, can remain asymptomatic while metastasizing. One of the first visible spots where these tumors metastasize is the left supraclavicular lymph node. The left supraclavicular node is the classical Virchow's node because it is on the left side of the neck where the lymphatic drainage of most of the body (from the thoracic duct) enters the venous circulation via the left subclavian vein.The metastasis blocks the thoracic duct leading to regurgitation into the surrounding nodes i.e. virchow's node. Another concept is that one of the supraclavicular nodes corresponds to the end node along the thoracic duct and hence the enlargement.

Differential diagnosis of an enlarged Virchow's node includes lymphoma, various intra-abdominal malignancies, breast cancer, and infection (e.g. of the arm). Similarly, an enlarged right supraclavicular lymph node tends to drain thoracic malignancies such as lung and esophageal cancer, as well as Hodgkin's lymphoma.

Additional images

• Superficial lymph glands and lymphatic vessels of head and neck.

References

Further reading

• Cervin, J. R.; Silverman, J. F.; Loggie, B. W.; Geisinger, K. R. (1995). "Virchow's node revisited. Analysis with clinicopathologic correlation of 152 fine-needle aspiration biopsies of supraclavicular lymph nodes". Archives of pathology & laboratory medicine 119 (8): 727–30. PMID 7646330. 
• Negus, D.; Edwards, J. M.; Kinmonth, J. B. (1970). "Filling of cervical and mediastinal nodes from the thoracic duct and the physiology of virchow's node—studies by lymphography". British Journal of Surgery 57 (4): 267–71. doi:10.1002/bjs.1800570407. PMID 5437920. 
• Mizutani, Masaomi; Nawata, Shin-Ichi; Hirai, Ichiro; Murakami, Gen; Kimura, Wataru (2005). "Anatomy and histology of Virchow's node". Anatomical Science International 80 (4): 193–8. doi:10.1111/j.1447-073X.2005.00114.x. PMID 16333915. 

External links

• synd/1222 at Who Named It?
• 1973026851 at GPnotebook

UpToDate Contents

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English Journal

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• PMID 25990476

• Surgical and systemic management of endometrial cancer: an international survey.

• Fotopoulou C1, Kraetschell R, Dowdy S, Fujiwara K, Yaegashi N, Larusso D, Casado A, Mahner S, Herzog TJ, Kehoe S, Vergote I, Miller DS, Marth C, Fujii S, Sehouli J.
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• Journal of the National Cancer Institute.J Natl Cancer Inst.2015 Jan 24;107(3). pii: dju426. doi: 10.1093/jnci/dju426. Print 2015 Mar.
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Japanese Journal

• 症例 膀胱癌の遠隔転移巣の診断にUroplakin 3が有効だった1例

• 別所 英治,松本 和将,望月 康平 [他]
• 北里医学 41(1), 45-48, 2011-06
• NAID 40018906485

• 症例 Virchowリンパ節転移を契機に発見されたFDG集積前立腺癌の1例

• 河田 修治,片岡 保朗,覚野 綾子 [他]
• 臨床放射線 56(6), 774-778, 2011-06
• NAID 40018885265

Related Links

• Virchow's node - Wikipedia, the free encyclopedia

Virchow's node (or signal node) is a lymph node in the left supraclavicular fossa ( the area above the left clavicle). It takes its supply from lymph vessels in the abdominal cavity. The finding of an enlarged, hard node (also referred to as Troisier's ...

• Rudolf Virchow - Wikipedia, the free encyclopedia

Another significant credit relates to the discovery, made approximately simultaneously by Virchow and Charles Emile Troisier, that an enlarged left supra-clavicular node is one of the earliest signs of gastrointestinal malignancy, commonly of ...

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リンク元	「ウィルヒョウ結節」「Virchow結節」
関連記事	「node」「nod」

「ウィルヒョウ結節」

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英

Virchow node

同

Virchow結節

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ウィルヒョウリンパ節

• 癌転移により腫大した左鎖骨上窩リンパ節

「Virchow結節」

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英

Virchow node

関

ウィルヒョウ結節

「node」

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• n.

• 結節、リンパ節、節、ノード

関

clause、ganglia、ganglion、ganglionic、knot、lymph node、nodal、nodose、nodulate、section、tubercle、tubercular、tuberosity

　 　 　 　 　 　 　 　

「nod」

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