[Metastatic basal cell carcinoma]

Basal cell carcinoma (BCC) is the most common diagnosed skin cancer. It often has a benign course, and metastatic BCC is extremely rare with an incidence of 0,0028-0,55%. It spreads by lymphatic and haematogenous routes, primarily to lymph nodes and lungs. The more aggressive histological types as infiltrating and morphea form is more likely to undergo metastasis. This is a case report of a patient with a primary neglected BCC on the trunk. The BCC underwent metastasis to the axillary lymph nodes. Radical axillary lymph node dissection was performed, and no further treatment was initiated.