Basal cell carcinoma of the penis and scrotum with cutaneous metastases

A 75-year-old man presented with a multicentric basal cell carcinoma (BCC) of the penis and scrotum with skin metastases. The lesion was large, affecting the whole shaft, the scrotum, and the pubic and inguinal areas. The patient was operated on and the defect covered with a split thickness skin graft. At six months follow-up, the patient was well, with no evidence of recurrence. This site is extremely rare (we know of 24 cases described) but seems to metastasise widely. Surgery is the best treatment option in these cases, and must be aggressive, considering the particular biological behaviour of BCC of the genital region