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 Best of Five 2.194

 

   

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BOF: 2.194

 A 74-year-old male presents with anorexia and loss of weight. On examination you note a palpable lymph node in the left supraclavicular region.

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.

a)      Retrograde spread from the cisterna chyli

b)      Non- metastatic manifestation

c)      Haematogenous spread

d)      Antegrade spread from the right lymphatic duct

e)      Retrograde spread from the thoracic duct

 

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