{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:10:10Z","timestamp":1756321810293,"version":"3.44.0"},"reference-count":19,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,6,9]]},"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>An elderly male patient with a history of basal cell carcinoma (BCC), which was excised from the right temple in 2013, presented in 2021 with swelling in the right parotid region. This led to a diagnosis of metastatic BCC in the parotid gland. He consequently underwent a right partial parotidectomy and neck dissection with adjuvant radiotherapy. In 2024, the patient was represented with a firm swelling in the right parotid region, and further imaging revealed a new lung lesion. He subsequently underwent a right video-assisted thoracoscopic surgery lower lobe wedge resection for the lung lesion and a right revision parotidectomy. Histopathology with immunohistochemistry confirmed metastatic BCC in both the parotid gland and lungs. This case highlights the rare occurrence of BCC metastasising, first to the parotid gland and then to the lungs, underscoring the need for a multidisciplinary approach and close follow-up for effective management.<\/jats:p>","DOI":"10.1136\/bcr-2024-263515","type":"journal-article","created":{"date-parts":[[2025,6,22]],"date-time":"2025-06-22T20:40:25Z","timestamp":1750624825000},"page":"e263515","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Metastasis of basal cell carcinoma from the scalp to the parotid gland and lungs"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4944-0262","authenticated-orcid":false,"given":"Dhayalakshmi","family":"Sundarraj","sequence":"first","affiliation":[{"name":"Medicine, Kettering General Hospital, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0763-7162","authenticated-orcid":false,"given":"Phil","family":"Da Forno","sequence":"additional","affiliation":[{"name":"Cellular Pathology, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6001-9691","authenticated-orcid":false,"given":"Sundarraj","family":"Lakshmiah","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3957-2738","authenticated-orcid":false,"given":"Manish","family":"Mair","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery, Leicester Royal Infirmary, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,6,22]]},"reference":[{"doi-asserted-by":"publisher","key":"2025082711530984000_18.6.e263515.1","DOI":"10.1002\/1097-0142(19800815)46:4<748::AID-CNCR2820460419>3.0.CO;2-K"},{"doi-asserted-by":"publisher","key":"2025082711530984000_18.6.e263515.2","DOI":"10.1002\/1097-0142(195107)4:4<866::AID-CNCR2820040424>3.0.CO;2-F"},{"key":"2025082711530984000_18.6.e263515.3","first-page":"1082","article-title":"Metastatic basal cell carcinoma presenting as unilateral axillary lymphadenopathy: report of a case and review of the literature","volume":"28","author":"Berlin","year":"2002","journal-title":"Dermatol Surg"},{"key":"2025082711530984000_18.6.e263515.4","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1177\/014556130007900710","article-title":"Basal cell carcinoma metastatic to the parotid: report of a new case and review of the literature","volume":"79","author":"Malone","year":"2000","journal-title":"Ear Nose Throat J"},{"key":"2025082711530984000_18.6.e263515.5","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1002\/lary.1980.90.6.955","article-title":"Basal cell carcinoma of the head and neck: identification of the high risk patient","volume":"90","author":"Levine","year":"1980","journal-title":"Laryngoscope"},{"doi-asserted-by":"publisher","key":"2025082711530984000_18.6.e263515.6","DOI":"10.1016\/1076-0512(95)00577-3"},{"doi-asserted-by":"publisher","key":"2025082711530984000_18.6.e263515.7","DOI":"10.1002\/1097-0142(19940115)73:2<328::AID-CNCR2820730216>3.0.CO;2-U"},{"key":"2025082711530984000_18.6.e263515.8","first-page":"349","article-title":"Basal cell carcinoma metastatic to parotid gland","volume":"8","author":"Kurian","year":"2014","journal-title":"Head Neck Pathol"},{"key":"2025082711530984000_18.6.e263515.9","doi-asserted-by":"crossref","first-page":"300","DOI":"10.21037\/gs-21-646","article-title":"Primary basaloid squamous cell carcinoma of the parotid gland mimicking metastasis of basal cell carcinoma of the contralateral periorbital region: case report","volume":"11","author":"G\u0105siorowski","year":"2022","journal-title":"Gland Surg"},{"unstructured":"E. 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