Kew M C
Department of Medicine, Witwatersrand University Medical School, Johannesburg, South Africa.
J Clin Gastroenterol. 1991 Apr;13(2):217-9. doi: 10.1097/00004836-199104000-00021.
Virchow-Troisier's lymph node is rarely found in patients with hepatocellular carcinoma. When present, it may or may not accompany spread of the tumor to mediastinal lymph nodes. In a 20-year-old South African black man with hepatocellular carcinoma, a Virchow-Troisier's node was evident clinically and confirmed at necropsy. Mediastinal lymph nodes were not involved by tumor, and the malignant cells probably gained access to the thoracic duct by way of lymphatic spread to the hepatic lymph nodes in the porta hepatitis and the celiac nodes, both of which were seen at necropsy to be extensively invaded by tumor.
维尔肖-特鲁瓦西埃淋巴结在肝细胞癌患者中很少见。出现时，它可能伴随也可能不伴随肿瘤向纵隔淋巴结转移。在一名20岁患肝细胞癌的南非黑人男性中，临床上可见维尔肖-特鲁瓦西埃淋巴结，尸检时得以证实。纵隔淋巴结未受肿瘤累及，恶性细胞可能通过淋巴扩散至肝门部肝淋巴结和腹腔淋巴结，进而进入胸导管，尸检时可见这两处均被肿瘤广泛侵犯。
