title: Atypical presentation of metastatic basal cell carcinoma.
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.
authors.affiliation: Department of Radiation Oncology, Johnson City Medical Center, James H. Quillen College of Medicine, Johnson City, TN, USA. colvettkt@msha.com
authors.forename: Kyle T
authors.initials: KT
authors.lastname: Colvett
authors.forename: Floranne C
authors.initials: FC
authors.lastname: Wilson
authors.forename: Ryan A
authors.initials: RA
authors.lastname: Stanton
mesh_terms: D002280:Basal Cell Carcinoma / Q000556:secondary*; D005260:Female; D005534:Foot Diseases / Q000175:diagnosis*; D006801:Humans; D007866:Leg; D008207:Lymphatic Metastasis; D008875:Middle Aged; D012878:Skin Neoplasms / Q000556:secondary*