Tiziana Tamburrano MD2, Giampietro Ricci
MD3, Massimo Maranzano4 and Michael
J Brenner MD5
1: Department of Head and Neck Surgery, Institute of
Otorhinolaryngology, Santa Croce Hospital AORMN, Fano, Italy
2: Institute of Oncology, Santa Croce Hospital AORMN,
Fano, Italy
3: Department of Otolaryngology, University of
Perugia, Perugia, Italy
4: CFU of Head and Neck Surgery, Division of Oral and
Maxillofacial and Facial Plastic Surgery
Manchester University Foundation Trust
5: Department of Otolaryngology-Head and Neck Surgery,
University of Michigan, Ann Arbor, MI, USA
*: equal contribution
Corresponding author: Dr. Arianna Di Stadio, Otolaryngology Department,
Piazza Menghini 1, 06129 Perugia, Italy. E-mail:
ariannadistadio@hotmail.com;
arianna.distadio@unipg.it
Running title: Neck Metastasis with Unknown Primary
ABSTRACT: Neck masses can be a challenge because several
cancers metastasize in this area. Head and neck tumors are more commonly
responsible of lymph nodes in neck. However, also gastric cancer can be
metastatic in this area. We present a rare case of neck gastric meta
with negative Virchow’s lymph node.
KEYWORDS: Neck mass, neck pain, lymph node, Virchow’s lymph
node, gastric cancer, head cancer, differential diagnosis.
KEY CLINICAL MESSAGE: Neck lymph nodes are common metastases of
head and neck tumors. Other tumors, i.e gastric one, metastasize firstly
in the clavicular fossa and then in the neck. Our case describes a rare
gastric tumor with neck meta and negative Virchow’ s lymph node.