Cutaneous metastasis as an initial presentation of an unknown primary

Cutaneous metastasis from underlying visceral malignancies is a rare phenomenon. Rarely, cutaneous metastasis can be the first manifestation of an underlying malignancy. Cutaneous metastases, in most patients, usually reveal a terminal stage of illness. Hence, in such cases, it is crucial to use a minimally invasive technique for either the diagnosis or exclusion of metastasis. Fine needle aspiration cytology can be used as an alternative to biopsies, as this is a minimally-invasive, relatively simple, rapid and inexpensive procedure. The site of primary may remain unknown in some cases, as was seen in our case.