case_images: PMC4930236_01
case_images: Gangrenous digits of the patient.
case_images: imcrj-9-159Fig1.jpg
case_images: PMC4930236_01_imcrj-9-159Fig1.jpg
case_images: f1-imcrj-9-159
case_images: By this time the node had increased in size and developed into a fungating growth (Figures 1 and 2).
case_images: Ulcerated jugulodigastric node.
case_images: imcrj-9-159Fig2.jpg
case_images: PMC4930236_01_imcrj-9-159Fig2.jpg
case_images: f2-imcrj-9-159
case_images: By this time the node had increased in size and developed into a fungating growth (Figures 1 and 2).
case_images: Diagnostic flowchart for Raynaud's Phenomenon.. Notes: * Refers to polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and Skin changes. It is a rare multisystemic disease that occurs in the setting of a plasma cell dyscrasia.
case_images: imcrj-9-159Fig3.jpg
case_images: PMC4930236_01_imcrj-9-159Fig3.jpg
case_images: f3-imcrj-9-159
case_images: Histological specimen of jugulodigastric lymph node. Notes: (A) Biopsy from the ulcerated jugulodigastric node showing spindle cell carcinoma. (B) Cytology smear from the ulcerated jugulodigastric node showing spindle cell carcinoma.
case_images: imcrj-9-159Fig4.jpg
case_images: PMC4930236_01_imcrj-9-159Fig4.jpg
case_images: f4-imcrj-9-159
case_images: Fine needle aspiration cytology and the impression smear showed metastasis from the squamous cell carcinoma (Figure 4).
case_images: Lymphangitis carcinomatosis involving the right lobe and mediastinal adenopathy.
case_images: imcrj-9-159Fig5.jpg
case_images: PMC4930236_01_imcrj-9-159Fig5.jpg
case_images: f5-imcrj-9-159
case_images: Radiological evidence of metastasis in the lungs shown in figure 5.