Metastatic signet ring cell gastric carcinoma bypassing Virchow's node: An unexpected etiology of a painful neck mass

Arianna Di Stadio; Luca D'Ascanio; Gino Latini; Paolo Gradoni; Manlio Pandolfini; Tiziana Tamburrano; Giampietro Ricci; Massimo Maranzano; Michael J Brenner

doi:10.1002/ccr3.3594

Metastatic signet ring cell gastric carcinoma bypassing Virchow's node: An unexpected etiology of a painful neck mass

Clin Case Rep. 2020 Dec 4;9(2):650-653. doi: 10.1002/ccr3.3594. eCollection 2021 Feb.

Authors

Arianna Di Stadio¹, Luca D'Ascanio², Gino Latini², Paolo Gradoni², Manlio Pandolfini², Tiziana Tamburrano³, Giampietro Ricci¹, Massimo Maranzano⁴, Michael J Brenner⁵

Affiliations

¹ Department of Otolaryngology University of Perugia Perugia Italy.
² Department of Head and Neck Surgery Institute of Otorhinolaryngology Santa Croce Hospital AORMN Fano Italy.
³ Institute of Oncology Santa Croce Hospital AORMN Fano Italy.
⁴ CFU of Head and Neck Surgery Division of Oral and Maxillofacial and Facial Plastic Surgery Manchester University Foundation Trust Manchester UK.
⁵ Division of Facial Plastic and Reconstructive Surgery Department of Otolaryngology-Head and Neck Surgery University of Michigan Medical School Ann Arbor MI USA.

Abstract

Metastatic lymph nodes of the head and neck are often associated with locoregional spread of mucosal squamous carcinoma, but in rare instances visceral malignancies may bypass Virchow's node. The possibility of distant metastasis should be considered.

Keywords: CT; MRI; PET; SRCC; Troisier's sign; Virchow's lymph node; computed tomography; differential diagnosis; gastric cancer; gastric carcinoma; head and neck cancer; locoregional spread; lymph node; metastasis; metastatic; neck mass; neck pain; radiological imaging; signet ring cell carcinoma.

Publication types

Case Reports