Abstract:Introduction: Non-Melanotic skin cancers (NMSC) is an infrequent entity in the Indian subcontinent as compared to western population. Existing literature on NMSCs in India is limited mostly to case reports and few reviews only. This article describes the clinical and pathological profile of patients presenting with NMSC and other rare malignancies of head and neck at a tertiary Centre in Northern India. Material and method: A retrospective study of 27 cases of common skin cancers and 5 rare cases received at a tertiary cancer hospital in Uttrakhandbetween December 2013 to December 2015. These skin cancer were reviewed and analyzed, based on appropriate history, clinical examination, histopathology and Immunohistochemistry confirmation. Results: A total of 32 histologically diagnosed skin malignancies including rare cases were analyzed during the period under review in Cancer Research Institute. Basal cell carcinoma(BCC) was the most common skin malignancy consisting of 16(50%) of cases followed by squamous cell carcinoma(SCC) with11(34.3%)cases. 26 cases(81.2%) were male and 6 cases(18.7%) were female with a male to female ratio of 4:1. Age ranged from 10 years to 85 years. Five rare cases including Dermatofibrosarcomaprotuberans(DFSP),Non Hodgkins lymphoma (NHL)Lacrimal gland, low grade sarcoma, Sweat gland carcinoma and xerodermapigmentosa with Carcinoma in situ constituted about 15.6% with one case each. Conclusions: Most frequent primary skin cancers were basal cell carcinoma (BCC) followed by squamous cell carcinoma (SCC) and other rare cancers. In our experience skin malignancy of head and neck present early as well as in advanced stage but can be managed successfully with acceptable outcome. For better management similar studies should be encouraged.