# Cutaneous Metastasis of Oral Carcinoma Tongue: A Rare Case

## TL;DR

A rare case of oral tongue cancer spreading to the skin of the face and neck is reported, highlighting unusual metastatic patterns and management challenges.

## Contribution

This paper presents a unique clinical case of cutaneous metastasis from squamous carcinoma of the tongue.

## Key findings

- The patient developed numerous metastatic nodules in the face and neck following treatment for tongue carcinoma.
- Cutaneous lesions were confirmed as metastatic malignancies despite palliative chemotherapy.
- The case underscores the complexity of managing rare metastatic pathways in head and neck cancers.

## Abstract

Cutaneous metastasis from head and neck cancers is rare, typically presenting as single or multiple nodules. This report presents a truly unique and intriguing case of squamous carcinoma of the tongue, in which the patient developed numerous metastatic nodules in the face and neck, a phenomenon rarely seen in clinical practice. The patient, a known case of carcinoma tongue, was treated radically with concurrent chemoradiation. He presented with small cutaneous lesions in his neck and upper chest, which were confirmed as cutaneous malignancies. Despite receiving one cycle of palliative chemotherapy, the management of this case posed significant and complex challenges, requiring a deep understanding of the nature of the spread and metastatic pathway for choosing the appropriate management.