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Skin metastases are common from breast and lung cancers. Squamous cell carcinoma of the oesophagus is known for its local invasion and lymphatic spread. Osophageal carcinoma accounts for approximately 6% of all gastro intestinal malignancies. 1 Squamous cell carcinoma is the predominant histopathological subtype, comprising about 70% of cases.1 Squamous cell carcinoma oesophagus is characterized by extensive local growth and proclivity to lymphnode metastases.1 Common sites of metastases include lymph nodes, lung and liver.1 Cutaneous metastases of abdominal malignancies are uncommon, with frequency ranging from 0.7% 9%.2 Skin metastases from oesophageal cancer are even rarer, and affect less than 1% of cases.2 The overall survival rate varies from 4.3 to 4.7 months.3 We report a rare case of squamous cell carcinoma of the middle oesophagus presenting with skin metastases.

Oesophageal malignancy with cutaneous metastasis over lower limb: A rare presentation