Abstract
A 72-year-old male patient presented with nodules and papules on the right anterior chest. The rash appeared during chemotherapy for right pulmonary adenocarcinoma and the patient was introduced to our department. A diagnosis of metastatic cutaneous tumor was made on the basis of skin biopsy. The tumor showed gradual yellow necrosis in the center, enlarged, and bled easily. We performed a procedure with Mohs paste with the cooperation of a palliative care team to fix the tumor and eliminate a bad odor caused by infection. After this procedure, the patient was able to enjoy going out and brief visits to his home without discomfort from the protruding tumor, exudate fluid, bleeding, and bad odor. Thus, the procedure improved the QOL of the patient, prior to his cancer-related death. This case shows that Mohs paste is useful to improve the QOL of patients with a metastatic unresectable cutaneous tumor, controlling bleeding, pain, exudate fluid, and bad odor.Skin Research, 12: 203-206, 2013