Basal cell carcinoma on the dorsum of the foot with inguinal and pelvic lymph nodes metastases.
BACKGROUND
Although basal cell carcinoma (BCC) is the most common type of skin cancer, the incidence of metastasis is exceedingly low.


OBJECTIVE
Case presentation of a basal cell carcinoma arising on the dorsum of the foot with inguinal and pelvic lymph node metastases.


METHODS
Case presentation with literature review.


RESULTS
On the basis of our review of Japanese literature, the risk factors for BCC metastasis are occurrence on the genitalia, diameter of more than 3 cm, deep invasion of tumor cells into extradermal structures, and infiltrative/morpheic histological type.


CONCLUSIONS
Although metastasis from BCC is extremely rare, the prognosis of metastatic BCC is often poor. Careful follow-up is recommended in cases with high risk factors.
Department of Dermatology, Toranomon Hospital, Tokyo, Japan. ynakamura-tuk@umin.ac.jp
Yoshiyuki
Y
Nakamura
Yosuke
Y
Ishitsuka
Kuniaki
K
Ohara
Fujio
F
Otsuka
D000368:Aged; D002280:Basal Cell Carcinoma / Q000556:secondary* / Q000601:surgery; D005260:Female; D005528:Foot; D006119:Groin; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology* / Q000601:surgery; D008207:Lymphatic Metastasis; D010388:Pelvis; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery