This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor.—Welling and Taggart recently reported the first case of carcinoid tumor metastatic to the neck (Arch Surg 110:111, 1975). In the last four years we had the opportunity to evaluate 22 patients with carcinoid tumors. Although none of the 11 patients with nonserotonin-secreting carcinoid tumors had cervical node involvement, three of the 11 patients with serotonin-producing carcinoid tumors (and the carcinoid syndrome) had enlarged supraclavicular nodes.
A 53-year-old man developed melena and a left supraclavicular mass in 1963. Biopsy examination revealed that the mass was a Virchow node containing carcinoid tumor. The primary carcinoid tumor, located in the terminal ileum, was resected. In 1968 the patient developed the carcinoid syndrome. In 1972, during a laparotomy for recurrent gastrointestinal tract bleeding, hepatic metastases were noted. In 1974 the patient's liver function test results, liver size, and results of a liver scan (technetium Tc 99m sulfur colloid) remained within
FELDMAN JM, PLONK JW. Carcinoid Tumors With Supraclavicular-Lymph Node Metastasis. Arch Surg. 1975;110(4):450. doi:10.1001/archsurg.1975.01360100092027