Cutaneous metastases occur rarely with colorectal adenocarcinoma, acco
unting for approximately 5 percent of all cutaneous metastases. Cutane
ous metastases from colonic cancer are most often located on the abdom
inal skin. The case we describe here is unusual because colorectal ade
nocarcinoma rarely metastasizes to the scalp. A review of the English
language literature revealed only six reported cases of cutaneous meta
stases from a colonic adenocarcinoma to the scalp.