While basal cell carcinoma (BCC) is the most common cancer in the United States,1 metastasis (mBCC) is extremely rare, with an incidence of 0.0028% to 0.55%.2 The most recent review of mBCC cases from 1894 through 1980 by von Domarus and Stevens2 is now 30 years old. We conducted a retrospective systematic evaluation of all published mBCC cases from 1981 through 2011 to update patient demographics and tumor characteristics associated with mBCC and to determine whether adjuvant therapy was associated with improved survival.
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