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.

  • Royal Perth Hospital, Perth, WA


Competing interests:

No relevant disclosures.

  • 1. Alimoglu Y, Kilic E, Mercan H, Inci E. Metastatic basal cell carcinoma. J Craniofac Surg 2011; 22: 1134–1136.
  • 2. Gropper AB, Girouard SD, Hojman LP, et al. Metastatic basal cell carcinoma of the posterior neck: case report and review of the literature. J Cutan Pathol 2012; 39: 526–534.


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