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  • Title: Basal cell carcinoma on the dorsum of the foot with inguinal and pelvic lymph nodes metastases.
    Author: Nakamura Y, Ishitsuka Y, Ohara K, Otsuka F.
    Journal: Int J Dermatol; 2012 Sep; 51(9):1068-73. PubMed ID: 22909360.
    Abstract:
    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. METHOD: Case presentation with literature review. RESULT: 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. CONCLUSION: 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.
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