A Troubling Rash on a Surgical Scar

A 59-year-old man with a history of colon cancer develops unusual Skin Lesions around his abdominal surgical scar. What could be the underlying cause?

Cutaneous metastases


A 59-year-old man with metastatic colon cancer presented to the dermatology clinic with a 10-week history of painless and nonpruritic skin lesions coalescing around a large abdominal scar from a hemicolectomy performed 3 years earlier. On examination, the lesions were firm, pink to violaceous in color, and vesicular-appearing. What is the diagnosis?

What is the most likely diagnosis?

Herpes zoster
Kaposi’s sarcoma
Cutaneous metastases
Basal cell carcinoma
Cutaneous sarcoidosis

Colon Cancer, Cutaneous metastases, Dermatology, Oncology, Sister Mary Joseph Nodule

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