Cancers from the stomach, pancreas, esophagus, testicles (testicular cancer), ovaries, or kidneys can metastasize via the thoracic duct. Instead of entering the bloodstream immediately, tumor cells lodge in the left supraclavicular node. Palpation of a hard, non-tender node in this region – known as – is highly suspicious for metastatic adenocarcinoma.

Kirsch-Virch（キルシュヴァーチ）は、チェリー（キルシュ）を原料にしたフルーツブランデーの一種で、食後酒やカクテル、製菓にも使われます。本ガイドは製法、風味特性、使い方、安全上の注意点を簡潔にまとめたドラフトです。

Not every palpable node is cancer. Consider:

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Thus, likely appears in: