Skeletal Muscle Metastases in Carcinoma Hypo Pharynx – a Rare Occurrence

Skeletal muscle metastases from hypo pharynx cancer are a very rare finding. The most common metastases in hypo pharynx cancer are seen to lungs, bones and liver. However, here we present a rare case of carcinoma hypopharynx with skeletal metastases to rectus abdominis muscle. Patient was a documented case of multiple metastases to bone, adrenals and skeletal muscle as per whole body PET-CT scan. Skeletal muscle metastases are rare and has no specific pattern of occurrence. Skeletal muscle metastases should always be considered as differential diagnosis for soft tissue sarcoma therefore, such patients should be looked with suspicion and needle biopsy is mandatory for final diagnosis.