Abstract
Basal cell carcinoma is the most common type of skin cancer but its pigmented variety is only about 6% of all Basal Cell Carcinomas (BCC). Pigmented BCC has similar clinical features to malignant melanoma. Histopathology and immuno-histochemistry are important for differentiation. We present a case report of a middle aged, dark skinned rickshaw-puller with prolonged exposure to sun who presented with an ulcero-proliferative growth below the right eye with brown-black asymmetric, elevated, rolled-out borders measuring more than 1.5 cm in dimension. Histopathological examination and negative HMB-45, S-100 immuno- histochemistry established the final diagnosis of pigmented basal cell carcinoma.
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