“…The type of skin metastases has been shown to vary by age, sex, and primary tumor type. Skin metastases may occur from various primary tumor sites in both children and adults (including rhabdomyosarcomas, adenocarcinomas, various solid tumors of the lung, breast, ovaries, uterus, and other sarcomas) [1][2][3][4][5][6] and have often heralded more widely metastatic disease as well as a poorer outcome. 7 However, the appearance of a scalp carcinoma in metastasis the absence of an evident primary site is very rare.…”