A 74-year-old male presents with anorexia and loss of
weight. On examination you note a palpable lymph node in the left
Endoscopy shows a large ulcer in the stomach with rolled
edges. Histological examination reveals that it is an adenocarcinoma.
In this patient which of the following would account for
the palpable lymph node in the left supraclavicular fossa.
Retrograde spread from the cisterna chyli
Non- metastatic manifestation
Antegrade spread from the right lymphatic duct
Retrograde spread from the thoracic duct