Case Report

Atypical Presentation of Metastatic Basal Cell Carcinoma

Authors: Kyle T. Colvett, MD, Floranne C. Wilson, MD, Ryan A. Stanton, MD

Abstract

Basal cell carcinoma is an indolent, slow-growing tumor that rarely metastasizes. Approximately 70% of tumors occur in the head and neck regions. If a basal cell tumor metastasizes, it usually spreads to the regional lymph nodes first, followed by the lungs. We describe a patient with basal cell carcinoma of the right lower extremity with skin metastases. Skin biopsy of one tumor revealed fibroepithelioma of Pinkus, a rare variant of basal cell carcinoma.

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