Clown Nose: A Rare Hypopharyngeal Cancer Metastasis

Cutaneous metastases from squamous cell carcinomas of the head and neck region are uncommon, and their location at the nasal tip is exceptionally rare. A patient, previously treated with surgery and chemoradiation for a hypopharyngeal squamous cell carcinoma, developed several red nodular skin lesio...

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Bibliographic Details
Published in:Ear, nose, & throat journal nose, & throat journal, 2024-08, Vol.103 (8), p.NP472-NP475
Main Authors: Lopes Alexandre, Pedro, Matos, Ricardo, Marques, Ana, Silveira, Helena, Santos Marques, Pedro, Pinto Moura, Carla
Format: Article
Language:English
Subjects:
Case reports
Head & neck cancer
Metastasis
Nose
Skin cancer
Squamous cell carcinoma
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Summary:Cutaneous metastases from squamous cell carcinomas of the head and neck region are uncommon, and their location at the nasal tip is exceptionally rare. A patient, previously treated with surgery and chemoradiation for a hypopharyngeal squamous cell carcinoma, developed several red nodular skin lesions at the nasal tip. Biopsy revealed cutaneous metastasis from the primary tumor. This manifestation was previously described as a “clown nose,” given their appearance and location. Skin lesions should raise suspicion of malignancy, despite their location at uncommon places, particularly in patients with previous diagnosed cancer. Clinicians must be aware that metastases from head and neck cancer can present as a “clown nose.”
ISSN:0145-5613
1942-7522
1942-7522
DOI:10.1177/01455613211069349