| Summary: | Globally, the annual occurrence of head and neck cancer (HNC) is documented to be more
than 650,000 cases with 330,000 deaths.1
In the United States, it represents 3% of all
malignancies and affects 53,000 Americans.
2 Metastasis to the lung, liver, and bones are
considered the most common locations.3-4 Herein, we are reporting a case of HNC and an
unusual synchronous gastric metastasis found on upper gastrointestinal endoscopy (EGD).
CECT scanning of the abdomen showed only the mass related to stomach fundus. On pelvic
MRI, no mass could be seen. Both cancers were poorly differentiated (PD) on histopathology
indicating possible disease aggressiveness and poor treatment response. The patient’s disease
progressed despite combined chemo-radiation therapy. He subsequently passed away from
disease burden and sepsis due to aspiration pneumonia. Therefore, further evaluation could
not be completed.
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