Objective: To report an extremely rare case of gastroesophageal carcinoma presenting initially with salivary gland metastasis.
Method: Case report and English language literature review concerning metastasis of adenocarcinoma of the gastroesophageal junction, with emphasis on clinical presentation.
Results: A 66-year-old man presented to the ENT rapid-access clinic with a right-sided neck swelling located in the tail of the right parotid gland. Fine needle aspiration cytology suggested adenocarcinoma. An urgent Oesophago-Gastro-Duodenoscopy (OGD) and biopsy confirmed the presence of the primary tumour at the gastroesophageal junction.
Conclusion: To our best knowledge, this is the first report in the English language literature of a parotid mass as the presenting feature of gastroesophageal carcinoma.