title: Gastric malignancy presenting as a neck swelling to the otorhinolaryngologists: a case of internal jugular venous thrombosis.
abstract: A woman aged 69 years presented with a 2-week history of left-sided neck swelling, dysphagia and night sweats. CT revealed an internal jugular venous thrombosis, multiple pulmonary emboli and gastric thickening. Endoscopy found a haemorrhagic fundal polypoidal tumour; biopsies diagnosed a gastric adenocarcinoma, Lauren's intestinal type. She was managed with radiotherapy and low molecular weight heparin.
authors.affiliation: Poole Hospital NHS Foundation Trust, Poole, UK.
authors.forename: James
authors.identifier: http://orcid.org/0000-0002-8223-3101
authors.initials: J
authors.lastname: Richardson-May
authors.affiliation: Poole Hospital NHS Foundation Trust, Poole, UK.
authors.forename: James
authors.initials: J
authors.lastname: Rogers
authors.affiliation: Poole Hospital NHS Foundation Trust, Poole, UK.
authors.forename: Thomas
authors.initials: T
authors.lastname: Parker
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D007601:Jugular Veins / Q000473:pathology*; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000532:radiotherapy*; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000175:diagnosis / Q000188:drug therapy*
chemical_list: D006495:Heparin, Low-Molecular-Weight