We report a rare case of cutaneous metastatic small cell lung carcinoma of
the upper lip in a 73-year-old man, which was excised and the defect repair
ed with a single advancement flap from the cheek. The prognosis of such les
ions is poor, and the incidence of other metastases elsewhere is high. The
aim of treatment was to give him optimal quality of life for the short time
left. The patient died of his primary disease four months later.