Background:Cutaneous metastases from colorectal cancer are rare and usually reflect advanced systemic disease. Their clinical presentation is often nonspecific, which may lead to delayed diagnosis. Understanding the characteristics, timing of presentation, and prognostic significance of these lesions is essential for clinicians managing colorectal cancer patients. Methods:We report the case of a 65-year-old man who developed a hypogastric cutaneous metastases two years after surgical resection of a colonic adenocarcinoma. Clinical examination, imaging, and histopathology confirmed the diagnosis. A review of the literature was conducted to summarize epidemiology, common clinical patterns, diagnostic approaches, and prognostic implications of cutaneous metastases originating from colorectal cancer. Results:The patient presented with firm abdominal nodules shortly after completing his first chemotherapy cycle. Concurrent imaging revealed pulmonary involvement. Literature findings indicate that cutaneous metastases most frequently appear near surgical scars or the abdominal wall and are strongly associated with disseminated disease. Reported survival after the appearance of skin metastases is generally limited, emphasizing their value as a marker of poor prognosis. Conclusion:This case highlights the importance of clinical awareness regarding new skin lesions in patients with a history of colorectal cancer. Early recognition and biopsy are essential for accurate diagnosis. The literature confirms that cutaneous metastases represent advanced disease and carry significant prognostic implications, reinforcing the need for timely multidisciplinary evaluation and management.