Metastatic basal cell carcinoma from a small tumor with lymphatic invasion
To the Editor: A 51-year-old Caucasian man presented with left shoulder pain. His history was significant for basal cell carcinoma (BCC) on the left side of his upper back, excised with clear margins in 1999. He had no history of additional cutaneous malignancies. Magnetic resonance imaging and computed tomography (CT) scans of the left shoulder revealed a large soft tissue mass along the inferolateral scapula extending into the adjacent teres minor muscle and between the teres minor and major muscles. There was significant left axillary lymphadenopathy. A bone scan was negative for abnormal activity, and a CT scan of the abdomen and pelvis was negative for metastatic disease. (Source: Journal of the American Academy of Dermatology)
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