2017 Volume 63 Issue 1 Pages 25-31
Malignant tumors occurring outside of the head and neck region often metastasize to the lymph nodes or organs of the head and neck region. However, most metastatic tumors are sporadic tumors, and metastasis to plural organs or the lymph nodes of the head and neck region at the same time, as in the present case, is thought to be rare. We experienced a case of multiple metastatic tumors derived from the stomach in the head and neck region. We observed metastasis to the epiglottis and multiple cervical lymph nodes exclusive of the mandibular bone in this case. To our knowledge, metastasis of carcinoma from the stomach to the larynx involving the epiglottis has not been previously reported. The patient was an 80-year-old man. His chief complaint was a mass in the gingiva at the mandibular bone. Because the pathological diagnosis of this tumor was a poor differentiated malignant tumor and there were no symptoms of the abdomen, this tumor at the mandibular bone was resected first. Stomach adenocarcinoma was proven by an abdominal computed tomography scan and endoscopic biopsy after the operation. Although we tried to eliminate the tumor using anti-tumor drugs, the patient died six months from the first findings due to aggravation of the original stomach carcinoma.
