This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
Sign of lymphatic spread in carcinoma stomach is 
Select and explain. 
A. Troisier's sign, B. Krukenberg's tumour, C. Sister Mary Joseph's nodules, D. Trousseau's sign
A: Troisier's sign
Answer: A: Troisier's sign 
Explanation: Troisier's sign : tumour appearing in the supraclavicular nodes, it is by lyphatic spreadBlumer's shelf (pouch of Douglas), Krukenberg's (ovaries) and Sister Josephs's (umbilicus) are by transperitoneal spreadTrousseau sign of malignancy is migratory thrombophlebitis a Non-metastatic effect of malignancyTrousseau sign of latent tetany: In hypocalcemia, a blood pressure cuff is placed around the arm and inflated to a pressure greater than the systolic blood pressure and held in place for 3 minutes. This will induce spasm of the muscles of the hand and forearm.Bailey and love 27e pg: 1133