Metastasis of basal cell carcinoma from the scalp to the parotid gland and lungs.

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.