LAUSR

Highlights • Cutaneous metastasis from head and neck cancer is uncommon. Acrocutaneous metastasis from the base of tongue is relatively rare.• These are most commonly seen in pre-terminal patients with wide-spread disseminated disease and indicates poor prognosis.• They may be the first presentation of occult silent cancer, mimicking a benign condition• Fine needle aspiration cytology (FNAC) or biopsy from the lesions should be considered and metastasis should be ruled out, even if it clinically appears to be benign in nature.• When they are located on the fingers, treatment is palliative and includes surgical resection or amputation.