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Even though advanced tumours spread to lymph nodes in the neck, it doesn't generally present with lung metastasis or with lymphangitic carcinomatosis. We describe a patient who created cough and growing dyspnoea whilst on therapy for carcinoma of lip. Chest x-ray and computed tomography have been constant with lymphangitic carcinomatosis. Lymphangitic carcinomatosis occurs with several unique main tumours and may seldom occur in oral cancers. That is the first report from carcinoma of lip. Background The common site of metastasis from most of the strong malignancies is lung. They commonly seem as nodular lesions in radiologic pictures. In some sufferers, metastasis presents with interstitial spread and it truly is known as Pulmonary Lymphangitic Carcinomatosis (PLC). Head and neck cancers very rarely have lung metastasis inside the type of PLC. Oropharyngeal and hypopharyngeal cancers have already been reported to possess such kind of metastasis [1]. Cancer of lip is usually a popular malignancy in Indian subcontinent primarily PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/28461567 as a consequence of tobacco chewing and that these cancers are detected in early Is Colon Rectum 2003, 46:498-502. Gisbertz SS, Festen MN: Therapy of fistulas stages as a consequence of its visible location, a spread to lung is rare PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/27488460 and they may be of typical nodular Econstructive challenge to surgeons, specially when simultaneous parotidectomy and neck dissection metastases. PLC has not been reported till date from lip cancers in English literature. Right here we report a case of PLC arising from cancer on the lower lip. Case Presentation 60 year old gentleman with no co morbid illness, presented having a squamous cell carcinoma of reduced lip. After evaluation, this was staged as T4 N2a M0, stage IV and was moderately differentiated squamous cell carcinoma. The X-ray with the chest was within standard limits. Wide excision of your lesion and reconstruction having a deltopectoral flap in addition to a radical neck dissection on ipsilateral side was done. Postoperative histopathology was moderately differentiated squamous cell carcinoma* Correspondence: drsajith@gmail.com 1 Division of Surgical Oncology, Malabar Cancer Centre, Thalassery, Kerala Full list of author info is availab.Rmed consent was obtained in the patient for publication of this case report and any accompanying images. A copy of the written consent is available for evaluation by the Editor-in-Chief of this journal.Competing interestsAll authors hereby disclose any industrial associations which could possibly pose or produce a conflict of interest with information presented in this manuscript. All authors declare that they've no competing interests.Authors' contributionsLS documented and ready most of the draft. MS documented and prepared the majority of the draft. SL Literature research, revision of bibliography. GM Edited the manuscript and helped in preparing the draft. TAS Documented and prepared part of the draft. HUS Edited the manuscript, revision of bibliography and helped in preparing the draft. All authors read and authorized final manuscript.Figure 6 Latissimus dorsi free flap with fistula Latissimus dorsi free flap with fistula.Polymeric biguanide-hydrochloride (Lavasept? Fresenius Kabi AG, Bad Homburg, Germany) Vacuum Assisted Closure (V.A.C.-Therapy? KCI Medizinprodukte GmbH, Wiesbaden, Germany) Babu et al. Globe Journal of Surgical Oncology 2011, 9:77 http://www.wjso.com/content/9/1/WORLD JOURNAL OF SURGICAL ONCOLOGYCASE REPORTOpen AccessA uncommon presentation of Pulmonary Lymphangitic Carcinomatosis in Cancer of Lip: Case ReportSajith Babu1*, Satheeshan B1, Geetha M2 and Surij SalihAbstract Squamous cell carcinoma of lip is often a frequent malignancy in Indian subcontinent.