Metastatic basal cell carcinoma to the lungs diagnosed by means of fine needle aspiration

Summary The case of a 50-year-old patient is presented, suffering from multiple penetrating basal cell carcinomas of the forehead, left orbit, auricle and scalp. He was first irradiated 25 years ago and since which time the patient has undergone repeated excisions. The orbital lesion which has penetrated deeply has caused blindness of the left eye, necessitating exenteration. Two years ago the patient developed metastases to the hilus of both lungs, which were diagnosed by means of fine needle aspiration. These lesions are spreading notwithstanding radiotherapy.