FNAC result was also of simillar type and finally it was found that frequency of tuberculosis (20 of 53, 37.7%) was highest and bronchial carcima was the second most frequent diagnosis (14 of 53, 26.4%). As the infection is treated and resolves, these. However, HCC rarely metastasizes to the left supraclavicular lymph node and few relevant reports are available in the literature.

Lymph nodes are small, bean-shaped structures that are part of the lymphatic system. The swollen supraclavicular lymph nodes are easily felt as small tender lumps at the top of the collarbone. Left supraclavicular lymphadenopathy may be the sign of a metastatic tumor, mostly from lung cancer, gastric cancer, nasopharyngeal cancer and breast cancer3. Increased frequency (11 of 28, 39.3%) of granulomatous inflammation from the tuberculoid lymphadenitis were found among the patient undergone supraclavicular lymphnode biopsy. Swollen lymph nodes may be a sign of a problem with the immune system. One presented with only swelling of the left hand and shoulder, another with a second episode of pleuritic pain, a third with low-back pain following an. Discrete, hard, non tender either fixed or non fixed supraclavicular lymphadenopathy was found malignant (18 of 18 cases, 100%) and discrete, firm, tender lymphnode were found non malignant (5 of 5 cases, 100%). Male patient have suffered more (60%) from malignant disease than that of female patient (40%). When lymph nodes swell in two or more areas of the body, it is called generalized lymphadenopathy. Virchow lectured and practised at the Charit Medical School of the Humboldt. Common sites for swollen lymph nodes include the neck, groin, and underarms. An enlarged node can be the first sign of gastric cancerand is often called Virchow's node, because the association between left supraclavicular lymphadenopathy and gastric cancer was first described by the German pathologist Rudolf Virchow (18211902). The study showed that mean age of the patient of supraclavicular lymphadenopathy that finally diagnosed as malignant was 49.7 years and that of non malignant was 33.7 years. Glands above the collarbone (supraclavicular lymph nodes) may swell from an infection or tumour in the areas of the lungs, breasts, neck, or abdomen. Patient of either sex, 18 years or above presented with supraclavicular lymphadenopathy were included. This prospective type of observational study carried out in the indoor and out patient department of medicine of Mymensingh Medical College Hospital over a period of 6 month from April 2011 to September 2011 to diagnose the causes of supraclavicular lymphadenopathy. Patients presented with the supraclavicular lymphadenopathy in the medicine department have a strong suspicion of serious illness like tuberculosis, sarcoidosis, toxoplasmosis and malignancy of lymphnode, blood, lung, upper GIT, breast, ovary, testes, and other sites of body.

Left supraclavicular lymph node swollen