What type of study is this?

This is a Case Report study (also classified as: Observational).

September 10, 2025

Limitations of radiology in the surveillance of metastatic BCC and the importance of clinical examination

Key Points

Metastatic basal cell carcinoma was missed on routine imaging, leading to a significant finding.
The case involved a 64-year-old male presenting with a subdermal neck metastasis, not detected earlier.
Combining modern imaging with thorough clinical examination is crucial for effective surveillance of metastatic BCC.
The limitations of current imaging techniques in identifying metastatic lesions underscore the need for additional clinical assessments.

Abstract

Basal cell carcinomas (BCCs) are the most common keratinocyte cancers, which in rare circumstances can metastasise. We describe a 64-year-old male with metastatic basal cell carcinoma (mBCC) who presented with a subdermal neck metastasis, not identified on routine PET/CT. In this report, we discuss the importance of combining modern imaging modalities with a thorough clinical examination when completing surveillance for mBCC patients.

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