A 72-year-old female patient, diagnosed with Binswanger's disease, with a history of tuberculosis, after surgery due to a compression fracture of the L1 vertebra was admitted to a dermatology ward because of skin lesions - violaceous noduleslocalised on the hair-covered skin of the head, in the left external acoustic meatus, on the back, and in the left groin (Figure 1). The first lesions appeared one month before admission, and had been rapidly progressing, engulfing the abovementioned body parts. Laboratory studies showed macrocytic anaemia, decreased activated partial thromboplastin time (APTT), a decreased level of folic acid, an increased level of D-dimer, and a slightly increased level of carcinoembryonic antigen (CEA). Symptomatic treatment was started - packed red blood cells were transfused and ionic balance was restored. Contrast-enhanced abdominal computed tomography (CT) revealed an enlargement of the head of pancreas and focal lesions with hypodense areas corresponding to necrotic changes. Evaluation of focal lesions in the liver and adrenal glands was impeded by artefacts resulting from L1 vertebroplasty. Two metastatic lesions were found in the liver, and similar lesions were also observed in both adrenal glands and in the wall of the thorax, destructing the ribs. Suspected metastatic lesions were found in the right breast (Figure 2). The clinical picture and imaging studies indicated a disseminated malignancy. Histopathology of the skin nodules confirmed a neuroendocrine tumour (Figure 3A and 3B). Metastases of a pancreatic neuroendocrine tumour or small-cell lung cancer were suspected based on a positive cytokeratin reaction (CK Pan+, CK18+, CK19+, synaptophysin+) on immunohistochemistry (Figure 3C and 3D). Because of a poor general condition, the patient was transferred to an endocrinology ward, where she died before determining the primary tumour and did not receive treatment.