Enlarged Virchow's node as an initial complaint of serous ovarian adenocarcinoma.

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.

CASE REPORT: 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.

CONCLUSION

Ovarian carcinoma in contemporary with a Virchow's node is an isolated finding.