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Pulmonary metastases in a patient with an aggressive infiltrative basal cell carcinoma of the scalp

A 65-year-old woman presented with multiple erythematous-crusted lesions on the right side of her scalp (figure 1A). Histological examination of a skin biopsy revealed an infiltrative, ulcerated basal cell carcinoma (BCC). The patient carried no mutation of the PTCH1 gene, excluding the diagnosis of Gorlin-Goltz syndrome. The tumour infiltrated the right parotid gland and the right masseter muscle, causing localised pain (including otalgia). The extension of the tumour was a contraindication of radical [...]