Skin Metastasis in a case of Oropharyngeal Cancer

Distant metastasis from oropharyngeal cancers usually occur in the lung, liver or bone. We present here a case of skin metastasis from primary cancer of the oropharynx (right tonsil extending up to the soft palate and adjacent base of tongue) in 56 year old male smoker initially staged as T3 N2c M0. After completion of definitive chemoradiation, the patient was in disease free locoregionally but developed secondaries in lung and bone and multiple skin nodules which were confirmed as metastatic deposits. Skin metastasis from oropharyngeal cancers are very rare (about 1%) and need careful evaluation because they portend a poor prognosis.