Cervical metastatic disease is an issue of paramount importance in the diagnosis and management of head and neck malignancies. Authors observed 40 patients with malignant tumors of the neck experienced during a 14 years period(from Jan. 1975 to Dec. 1988). They were evaluated by clinical and statical analysis. The obtained results were as follows : 1) The most common age group was 51-60(49%). 2) The sex ratio was 4.7(M) : 1(F). 3) The most common duration of symptomatic period prior to the first visit to the hospital was below 60 months(65%). 4) The most common time interval from the first to the biopsy result was 1-10 day(65%) and that from the first visit to the final diagnosis was 11-20 days(38%) 5) Primary site of metastatic nodes were nasopharynx(15%), thyroid gland(10%), stomach, tongue, lung(7%), hypopharynx, oropharynx, bone marrow(1 case) and unknown origin were 13 cases(45%). 6) Histopathologically, the squamous cell carcinoma(36%) was most commonly observed, followed by the malignant lymphoma(28%), undifferentiated cell carcinoma(15%), Adenocarcinoma(15%), papillary carcinoma, small cell carcinoma, leukemia(1 case). 7) The most common distribution of unknown origin lymph node malignancy were Rt. midjugular lymph node(25%), Lt. midjugular lymph node(16%), Lt. subdigastric lymph node(16%), Rt. subdigastric lymph node(13%). 8) Staging were N2a(28%), N2c(25%), N3(17%), N1(15%), N2b(15%). 9) Treatment modality was chosen in each case, however, radiotherapy or chemotherapy alone was done mostly.