To the Editor.—We wish to thank Drs Feldman and Plonk for their comments (Arch Surg 110:450, 1975) on "Carcinoid Tumor Metastatic to the Neck" (Arch Surg 110:111, 1975).
They presented three patients with metastatic carcinoid to the supraclavicular nodes. We would agree that carcinoid tumor or any other gastrointestinal malignant neoplasm occasionally presents with supraclavicular lymph node metastases.
Our case was unique in that the metastatic node was high in the anterior cervical triangle, and there were no palpable supraclavicular nodes. To our knowledge, a similar case has not been reported.