Cutaneous Secondaries from Carcinoma Larynx

Cutaneous secondaries from carcinoma larynx are very rare. Distant metateses in squamous cell carcinoma of larynx have an incidence of five to six percent. It most commonly involves lungs, liver and bone. We present a case of a male patient with cutaneous deposits from carcinoma larynx in Anterior Abdominal wall and his left ring finger. This case is presented for its rare occurrence. 45 year old male patient presented to a hospital outside in April 2009 with complaints of hoarseness of voice .He was investigated for the same. DL scopy showed growth in the right glottis Biopsy of the same was reported as moderately differentiated (Grade III) Squamous cell Carcinoma.His clinical Staging was T3N1N0. Patient received concurrent Chemo radiation for the same. He was given 60 Gray of external RT with weekly cisplatin 40 mg per meter square .He was apparently normal till March 2010.After which he developed local recurrence for which he underwent total laryngectomy in April 2010.He was given six cycles of chemotherapy with Carboplatin and paclitaxel. He was normal till November 2010 when he presented to us with Anterior Abdominal wall swelling .Cytology of the same proved to be meta static carcinomatous deposits .As the patient had already received twelve cycles of platinum compounds, we managed him with single agent Methotrexate. He responded well to our treatment for five months, after which the disease progressed.