General points

• Fungating tumours are rare in children.
• Fungating tumours occur when a primary or secondary tumour invades through the skin leading to breakdown and ulceration.
• The tumour may spread locally or break down into a cavity.
• The resulting necrosis of the tissue may then become infected, bleed or discharge exudate.
• Issues around disfigurement, body image and smell may cause considerable psychological problems.

Please contact the paediatric palliative care team for specialist advice on the management of fungating tumours.