Rare case of skull metastasis from endometrial carcinoma sparing lymph nodes: a case report

Endometrial cancer is common especially among females. It could disseminate through direct, lymphatic, and hematogenous spread. On the other hand, cutaneous metastases are extremely rare. We reported a case of a 70-year-old female with a history of early-stage endometrial carcinoma (Stage IB, Grade 2) who developed a rare skull metastasis sparing lymph nodes. Given the patient's poor performance status and comorbidities, she was deemed unfit for systemic chemotherapy. Palliative care was initiated, focusing on symptom management. This case underscores the importance of considering atypical metastatic presentations in endometrial cancer and highlights the challenges in diagnosis and management.