The scrotum is an uncommon site for cutaneous metastases from visceral malignancies. A man with colon cancer, which subsequently developed cutaneous metastasis to the scrotumis described. PubMed medical database was used to search the following terms separatelyand in combination: cutaneous metastasis, skin metastasis, scrotal metastasis, scrotum, rectalcancer, and colon cancer. Cutaneous metastasis most frequently occur in the vicinity of the primary tumor. Skinsites of metastatic cancer may include the abdomen, back, chest, face, scalp, and genitalia. Thereported patient developed metastatic cutaneous lesions of his colon cancer not only on the abdomenbut also on the scrotum. Including our patient, 9 men have been described with metastatic colon orrectal carcinoma localized to the scrotum. The lesions were the presenting sign of malignancy inone man and in the others, the lesions appeared within 24 months of their initial diagnosis ofcancer. The skin metastases were pleomorphic; they appeared as papules, nodules and/or cutaneousinduration. Survival data was only reported in five of the patients. However, colon or rectalmetastases to the scrotum is a poor prognostic sign with a mean survival time of 11 months. Scrotal metastases from carcinoma of the colon or rectum may be the initialpresentation of malignancy or herald the discovery of recurrent disease. The morphology of themetastatic tumor is variable: papules, nodules and/or sclerosis. The development of scrotalmetastases from colon or rectal carcinoma portends a poor prognosis. Most of the patients succumbto theirmetastatic disease within a year.