๐ฉ๐ถ๐ฟ๐ฐ๐ต๐ผ๐'๐ ๐ก๐ผ๐ฑ๐ฒ (Why Left side?๐ค)
๐ฉ๐ถ๐ฟ๐ฐ๐ต๐ผ๐'๐ ๐ก๐ผ๐ฑ๐ฒ (แดสแดษชsษชแดส's sษชษขษด ,sษชษขษดแดส ษดแดแด
แด,sแดษดแดษชษดแดส ษดแดแด
แด,sแดแดแด แดา แดสแด แด
แดแด ษชส ษดแดแด
แด, แด ษชสแดสแดแดก's-แดสแดษชsษชแดส's ษดแดแด
แด) "๐ฐ๐ ๐๐๐๐๐๐๐๐๐ ๐๐๐๐ ๐๐ ๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐๐๐๐ ๐๐๐ ๐๐ ๐๐๐ ๐๐๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐" ๐ณ️Rudolf Ludwig Karl Virchow, in 1849, noted the involvement of left supraclavicular node in relation to the junction of the thoracic duct, adjacent to medial to the IJV; this end node drains through few lymphatics into the left jugular trunk and to thoracic duct. Reflux from thoracic duct into this node occurs easily in abdominal malignancy. ๐ณ️40 years later, Troisier reported many cancers ( ๐ด๐ฎ๐๐๐ฟ๐ถ๐ฐ,๐ผ๐ฒ๐๐ผ๐ฝ๐ต๐ฎ๐ด๐ฎ๐น,๐ฝ๐ฎ๐ป๐ฐ๐ฟ๐ฒ๐ฎ๐๐ถ๐ฐ, ๐ด๐ฒ๐ป๐ถ๐๐ผ-๐๐ฟ๐ถ๐ป๐ฎ๐ฟ๐, ๐๐๐ป๐ด๐ ๐๐ฒ๐ฝ๐ฎ๐๐ผ๐ฏ๐ถ๐น๐ถ๐ฎ๐ฟ๐, ๐๐ฟ๐ฒ๐ฎ๐๐ & ๐๐๐ฒ๐ป ๐ถ๐ป ๐ง.๐, ๐๐๐บ๐ฝ๐ต๐ผ๐บ๐ฎ, ๐๐๐ฑ๐ฎ๐๐ถ๐ฑ ๐ฐ๐๐๐, ๐ฆ๐๐ ) presenting with left supraclavicular lymph node involvement as external indicator and so c