Connect
MJA

Pretibial metastatic basal cell carcinoma

Phillip Cantwell
Med J Aust 2020; 212 (3): . || doi: 10.5694/mja2.50441
Published online: 17 February 2020

A 72‐year‐old immunocompromised woman presented with a 6‐month history of a rapidly growing right pretibial lesion (Figure, A) and a palpable right groin lump. Excision biopsy (Figure, B) demonstrated a pretibial basal cell carcinoma (BCC) with nodular and infiltrative growth, extensive lymphovascular invasion, but no perineural invasion. Basosquamous features were not present. An ultrasound with fine needle aspirate indicated BCC metastasis to the right groin lymph nodes. Positron emission tomography (PET) scan identified no other metastasis. A right groin clearance confirmed metastatic BCC (Figure, C). The tumour cells showed diffuse positive staining with BerEP4 and were largely negative for epithelial membrane antigen.

  • Phillip Cantwell

  • Royal Perth Hospital, Perth, WA

Correspondence: pcc998@uowmail.edu.au

Competing interests:

No relevant disclosures.

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.