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

Abstract

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

• computed tomography
• CT
• differential diagnosis
• gastric cancer
• gastric carcinoma
• head and neck cancer