title: Unusual metastatic presentation of carcinoma hypopharynx.
abstract: Cutaneous metastases from hypopharyngeal cancers is rare constituting about 0.8-1.3% and represent a sub-group of head and neck cancer patients who have very poor prognosis even when treated. We report a case of 65-year-old male diagnosed as carcinoma hypo pharynx stage IV who was on radiotherapy when he developed cutaneous metastasis over the chest wall, which initially presented as small nodules and later progressed into a proliferative lesion. Patient received further radiation to the metastatic lesion, but the disease was progressive, demonstrating that head and neck squamous cell cancer patients with skin metastasis fare poorly.
authors.affiliation: Department of Radiation Oncology, Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bengaluru, Karnataka, India.
authors.forename: D
authors.initials: D
authors.lastname: Niharika
authors.forename: Sham
authors.initials: S
authors.lastname: Sunder
authors.forename: Geeta S
authors.initials: GS
authors.lastname: Narayanan
authors.forename: Manjunath
authors.initials: M
authors.lastname: Nandennavar
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000556:secondary; D017809:Fatal Outcome; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000175:diagnosis* / Q000473:pathology; D007013:Hypopharynx / Q000473:pathology; D008207:Lymphatic Metastasis; D008297:Male; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000556:secondary