Metastases to the skin from internal malignant neoplasms are uncommon
and often preterminal event. Cutaneous metastases from an adrenal cort
ical carcinoma have rarely been reported even in the advanced stages o
f the disease. A patient was initially seen with a small cutaneous les
ion on the cheek and was found to have a large adrenal cortical tumor.
Histologic comparison proved that the cutaneous lesion was a metastas
e from an adrenal cortical carcinoma.