Malignant eccrine poroma is a rare skin adnexal tumor arising from the eccrine sweat glands. It arises from different sites in the body lower extremities, palmand trunk. Porocarcinoma from scalp is rare and we are presenting a case of porocarcinoma arising from the scalp post radiotherapy for the hypo-pharyngeal tumor. The tumor was presented with multiple secondaries in brain and lung. CASE REPORT: A 55years old male presented with multiple swellings over the frontoparietal region of the scalp

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... (figure-1).The swellings are multiple, bosselated, nodular, erythematous, firm, nontender, non-fluctuantand few are polypoidal ulcerating with bleeding on touch. Posterior triangle group of lymph nodes are palpable on left side. The patient was previously diagnosed as a case of carcinoma pyriform fossa left side of stage 3and undergone radiotherapy 2years back and the growth regressed. At present no growth is seen in the larynx. CT scan of brain and chest showed muliple secondaries in the right temporal lobe, right cerebellar hemisphere, frontal and parietal bones, both lungs and hilar lymphnodes ( figure 2, 3, 4) . Biopsy was taken from the lesion over the scalp.The dermis showed round to oval cells arranged in nests and islands. The cells have moderate amount of cytoplasm, moderately pleomorphic hyper-chromatic to vesicular nuclei with nucleoli. Brisk mitotic activity and necrosis is present. Few cells show cytoplasmic clearing ( fig. 5, 6 ).As the patient general condition was poor with metastases palliative treatment was given with chemotherapy.