title: Enlarged Virchow's node as an initial complaint of serous ovarian adenocarcinoma.
abstract: BACKGROUND
  An enlarged Virchow's node or left supraclavicular lymph node is a classic precursor to the diagnosis of metastatic cancer, usually originating from an abdominal organ. It is rarely found in ovarian carcinoma.
  
  
  METHODS
  A 49-year-old woman presented a painless mass in her left supraclavicular fossa. A histopathological examination of the same mass was consistent with a serous adenocarcinoma of ovarian origin. The patient was initially asymptomatic, even with the disease in an advanced stage. Left supraclavicular adenopathy has not been previously reported as a presenting complaint of ovarian carcinoma.
  
  
  CONCLUSIONS
  Ovarian carcinoma in contemporary with a Virchow's node is an isolated finding.
authors.affiliation: Department of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Rahman
authors.forename: K
authors.initials: K
authors.lastname: Nakayama
authors.forename: M T
authors.initials: MT
authors.lastname: Rahman
authors.forename: H
authors.initials: H
authors.lastname: Katagiri
authors.forename: T
authors.initials: T
authors.lastname: Ishibashi
authors.forename: K
authors.initials: K
authors.lastname: Miyazaki
mesh_terms: D018284:Cystadenocarcinoma, Serous / Q000473:pathology*; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology*