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Objective: In this article, we report on two unusual cases of advanced nasopharyngeal carcinoma (NPC) with distant cutaneous metastases.   Methods:                  Design: Case Report                  Setting: Tertiary Referral Center                  Patients: Two Results:  Two patients with advanced NPC developed multiple nodular skin metastases, one after completing radiotherapy and another during concurrent chemo-radiotherapy. Biopsies of these skin lesions confirmed metastatic NPC and both patients succumbed to the disease.   Conclusion: Nasopharyngeal carcinoma with skin metastases carries a very poor prognosis. Early detection, diagnosis and treatment are still the best management strategy for nasopharyngeal carcinoma.   Keywords:  Nasopharynx, nasopharyngeal carcinoma, skin metastases, cutaneous                           metastases