| Summary points: | A 62-year-old presents with an asymptomatic, small, hard nodule at the base of the right neck at the junction of the cervical and supraclavicular regions 4 years after completing chemoradiation for metastatic thyroid carcinoma. This case describes the patient's history, the initial diagnostic investigations, treatment, and outcome, and includes a microscopic image. The authors discuss the diagnostic criteria for metastatic basal cell carcinoma and possible risk factors. |