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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 …
Contributors DS and NK were involved in patient management, concept of paper, data acquisition, drafting the article, revision and final approval. SKD was involved in patient management, concept of paper, data acquisition, revision and final approval. MW involved in patient management, concept of paper, drafting the article, revision, final approval.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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