Cutaneous metastases from internal malignant neoplasms are uncommon, and the clinical manifestations have variable presentations.1 Of these, telangiectatic lesion is rare; just 1 case of a telangiectatic cutaneous lesion from adenocarcinoma of the lung was found.2 Usually, there is a long time lag between the diagnosis of the primary malignant neoplasm and the recognition of the cutaneous metastasis. However, it may be the first indication of a clinically silent internal malignant neoplasm, as in our case. We describe a patient with a unilateral hemangioma-like manifestation, which led to detection of metastatic adenocarcinoma from lung.