A rare presentation of carcinoma esophagus with scalp metastasis

Esophageal cancer, most commonly presents with upper digestive symptoms such as dysphagia, odynophagia. Lymph nodes are among the most common metastatic sites of this cancer. An isolated scalp metastases as a sole signature of an underlying esophageal carcinoma has never been addressed in any surgical literature till to date. In our case report, we have shared our clinical experience of coming across through such a scenario where an orthopedically handicapped gentleman with 44 years of age, presented with isolated scalp mass later on proved to be metastatic squamous cell carcinoma from underlying esophageal cancer is being discussed in brief. It is a rare presentation of esophageal cancer without the upper gastrointestinal symptoms.