Rare occurance: cutaneous metastasis to scalp and upper lip from gastro-esophageal carcinoma

Skin metastasis from internal malignancy is rare and commonly includes breast, lung and colorectal cancer. Scalp and lip as a site of metastasis is even rarer and may represent a poor prognosis. We report a case presenting with scalp and lip swelling which on further workup was diagnosed as gastroesophageal carcinoma. Even with standard treatment patient succumbed to the disease within 3 months of diagnosis. Skin metastasis represents advanced disease with a poor outcome. Extensive workup is required to establish the diagnosis at the earliest to for better treatment outcomes.