Yucel Emre A, Demirel Tayfun, Demiryont Misten, Egeli Unal, Deger Kemal
Department of Otolaryngology, Istanbul University, Istanbul, Turkey.
J Laryngol Otol. 2003 Jan;117(1):85-7. doi: 10.1258/002221503321046757.
It is well known that in advanced cervical metastatic disease of head and neck squamous cell carcinoma, the incidence of distant metastasis is high. A case of distant metastasis to the scapular muscles from an uncontrolled cervical metastasis of laryngeal carcinoma is presented. Other unusual metastatic sites are reviewed and the possible mechanism of the spread is discussed.