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.