A case of Virchow metastasis of cervical cancer concurrently with mandibular gingival cancer

We report a case of Virchow (node) metastasis cervical cancer concurrently with mandibular gingival cancer. A 58-year-old woman was referred to our department complaining inflammation and pain in her right gingiva. histopathological diagnosis squamous cell carcinoma (SCC) obtained by biopsy. FDG-PET/CT showed significant accumulation the cervix left supraclavicular lymph node, suggesting possibility malignancy. No malignancy found gynecological examination, so we performed marginal mandibulectomy resected node. Histopathological examination node revealed SCC. Postoperative also no However, couldn’t exclude distant cancer, postoperative chemotherapy docetaxel, cisplatin 5 -fluorouracil based on gynecologist’s recommendation. The confirmed six months after chemotherapy. As immunohistochemical analysis positive staining for p16 metastatic but not oral diagnosed as patient subsequently underwent chemoradiotherapy treatment eight years nine from first visit, there has been recurrence or