Coping with ulcerating or bleeding skin tumours or metastases not suitable for surgical, radiotherapeutical or chemotherapeutical treatment is a difficult problem for patients, doctors and nursing staff. The care should focus on limiting local and systemic infection, combating unpleasant smells and reducing bleeding. Palliative amputation is sometimes a solution. The treatment depends on the nature and site of the tumour, it should preferably be adapted to the individual patient and be carried out in consultation with the patient, the specialist in charge or the GP, and the (oncological) nurse. The purpose of all this is to optimize the quality of life in the terminal phase.