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Biopsy revealed cutaneous metastasis from the primary tumor. This manifestation was previously described as a \u201cclown nose,\u201d given their appearance and location. Skin lesions should raise suspicion of malignancy, despite their location at uncommon places, particularly in patients with previous diagnosed cancer. Clinicians must be aware that metastases from head and neck cancer can present as a \u201cclown nose.\u201d <\/jats:p>","DOI":"10.1177\/01455613211069349","type":"journal-article","created":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T09:01:48Z","timestamp":1641373308000},"page":"NP472-NP475","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Clown Nose: A Rare Hypopharyngeal Cancer Metastasis"],"prefix":"10.1177","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7579-3733","authenticated-orcid":false,"given":"Pedro","family":"Lopes Alexandre","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"},{"name":"Department of Surgery and Physiology, Faculty of Medicine of Porto University, Porto, Portugal"}]},{"given":"Ricardo","family":"Matos","sequence":"additional","affiliation":[{"name":"Department of 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