Cutaneous metastasis accounts for only 2% of all skin cancers . The importance of prompt recognition of a cutaneous metastasis is highlighted by the fact that it can be the first clinical sign of a new or recurrent malignancy [1]. Although classically appearing as a dermal nodule the clinical appearance of cutaneous metastases can vary widely [2,3]. Pulmonary Large Cell Neuroendocrine Carcinoma (LCNEC) is a rare subtype of malignant pulmonary tumor. The incidence rate of LCNEC was reported to be 0.3%–3% in lung cancers.