Cutaneous metastases occur in 1% to 10% of patients with metastatic disease. Their recognition is important due to prognostic
implications. The most frequently observed cutaneous metastatic cancers are breast, lung, colon, and melanoma with a wide
variation in morphology of lesions, and generally they imply a poor prognosis. We present a rare case of a 64-year-old woman
with cutaneous metastases on the scalp from ampullary carcinoma and long-term follow-up.