swollen supraclavicular lymph node from uti

The case presentation describes a 75-year-old male patient who was initially evaluated for a left-sided neck lump that had been present for two months. Upon further evaluation, several key findings were noted:

1. The patient had associated symptoms of fatigue and weight loss, with a significant drop in weight of approximately 30 pounds over the last five years.

2. Imaging studies revealed an enlarged (swollen) lymph node located above the clavicle on the left side of his neck (supraclavicular region).

3. A subsequent workup identified that this swollen supraclavricular lymph node was indeed a result of a urinary tract infection (UTI), rather than being due to any malignancy.

4. The case also highlighted some additional points about prostate cancer and its metastasis:

a) Prostate cancer is the most common type of cancer among men, with approximately 6 out of every 100 cases eventually leading to distant or regional spread (metastasis).

b) When such a patient presents with symptoms like fatigue, weight loss over an extended period alongwith supraclavicular lymphadenopathy then it raises high index of suspicion for prostate malignancy even if initial investigations are negative.

c) In this particular case, the presence of CDX2 protein was noted in tumor cells and its role as potential clinico-pathological marker in metastatic prostate cancer is discussed.

Swollen supraclavicular lymph node from uti