Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 51 9 2013 09 15 652 654 EN Fereshteh Fakor Reproductive Health Research Center, Department of Gynecology and Oncology, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran. Hadi Hajizadeh Falah Department of Pathology, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran. Sina Khajeh Jahromi Student Research Committee, Guilan University of Medical Sciences, Rasht, Iran. 2015 10 11 Endometrial cancer generally carries a good prognosis. Endometrial carcinoma more frequently metastasizes to the pelvic and para-aortic nodes. Visceral metastases usually occur in the vagina and ovaries. Distant metastases involve lungs and occur as a terminal event. This case report describes vulvalar metastasis of endometrial cancer to the clitoris. Metastatic tumors of the vulva are rare. Moreover, in the presence of metastatic endometrial carcinoma to the vulva, it is necessary to verify if other visceral metastases are present. Endometrial cancer can extend through direct dermatogens and lymphatic spread. We report a clitoral metastasis of an endometrial carcinoma and discuss whether the possible mechanism is vascular spreading or direct seeding. https://acta.tums.ac.ir/index.php/acta/article/view/4359 https://acta.tums.ac.ir/index.php/acta/article/download/4359/4386