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Their occurrence on a surgical scar is particularly unusual and may result from intraoperative tumor seeding or the permissive microenvironment of scar tissue, characterized by neoangiogenesis, impaired barrier function, and reduced local immunity. We present the case of a woman with high-grade serous tubal carcinoma whose recurrence began as a painful nodule and papules on the hysterectomy scar, later extending into infiltrated nodules across the lower abdomen and thigh roots. Dermoscopy revealed a diffuse erythematous background with polymorphic vascular structures, including serpentine vessels. Biopsy confirmed cutaneous metastasis. This case emphasizes dermoscopy\u2019s diagnostic role in rare scar-associated cutaneous metastases.<\/jats:p>","DOI":"10.1093\/omcr\/omaf303","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T12:55:58Z","timestamp":1767963358000},"source":"Crossref","is-referenced-by-count":0,"title":["When dermoscopy of a nodule on the hysterectomy scar reveals peritoneal carcinomatosis from high-grade serous tubal carcinoma"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8169-3341","authenticated-orcid":false,"given":"Kaoutar","family":"Benchekroun","sequence":"first","affiliation":[{"name":"Dermatology Department, Mohammed VI University Hospital, Faculty of medicine and pharmacy, Abdelmalek Essa\u00e2di University Tangier 90000 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and pharmacy, Abdelmalek Essa\u00e2di University Tangier 90000 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"2026052411163010000_ref1","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1001\/jamadermatol.2013.8502","article-title":"Dermoscopic findings in cutaneous metastases","volume":"150","author":"Chernoff","year":"2014","journal-title":"JAMA Dermatol"},{"key":"2026052411163010000_ref2","doi-asserted-by":"publisher","first-page":"e44459","DOI":"10.7759\/cureus.44459","article-title":"Cutaneous ovarian carcinoma metastases: case report and literature review","volume":"15","author":"Li","year":"2023","journal-title":"Cureus."},{"key":"2026052411163010000_ref3","doi-asserted-by":"publisher","first-page":"1292","DOI":"10.3390\/cancers11091292","article-title":"Cutaneous metastases in ovarian 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