Recurrence of cutaneous squamous cell carcinoma at remote limb donor site.

Squamous cell skin cancer (SCC) is the second most common skin malignancy. The risk of metastasis is usually low and generally occurs through lymphatic spread. Surgical excision is the gold standard for treatment and subsequent reconstruction often involves a skin graft from a distant donor site. Our case highlights an incident in which metastatic spread of an SCC occurred in a distant skin graft donor site on the limb following free flap harvest.