Abstract
A 56-year-old man visited our outpatient clinic with a 4 cm ulcerated nodule of the scalp. A diagnosis of basal cell carcinoma was made by an incisional biopsy of the nodule, which was completely excised one month later. However, squamous component was noted, and the final histological diagnosis of the resected specimen was basosquamous cell carcinoma. The patient noticed an occipital lymph node swelling ; consequently, we performed lymph node dissection. Two months later, the tumor metastasized to the subcutanous tissue of the occipital region and left posterior ear region. The patient died of general prostration, eleven months after the last surgery.[Skin Cancer (Japan) 2013 ; 28 : 336-339]
