Abstract
<p class="abstract">Basal cell carcinoma (BCC) is the most common type of skin cancer worldwide. It is more common in elderly, occurs mostly in the head and neck region. Its incidence is widely increasing due to widespread UV –B rays exposure. Although many variants of BCC exist, metastatic BCC is rare and occurs with aggressive histopathological types like morpheaform, metatypical, basosquamous and infiltrative. We described twelve cases and reviewed the literature. Majority of the patients belonged to the age group of 61-70 years. Majority of them were females (58.3%). The most common site of involvement was cheek (41.6%). The most common morphological variant of BCC was nodular type in 50%. The most common histopathological variant was of nodular type in 33.3%. This study highlights the paradoxically increasing trend of BCC with female predilection. This study highlights the importance of creating awareness among general practitioners, general population and public health workers.</p>
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