Skin basocellular carcinoma is very frequent, and does not usually cau
se distant metastasis. However, a few cases of distal lymph node, pulm
onary, bone metastasis have been described in the literature. In the p
resent case, we report a basocellular mediastinal lymph node metastasi
s. Some precise histological characteristics described by Lattses must
be present to admit authenticity of these metastasis. The treatment o
f such cases is based on surgery, radiotherapy and chemotherapy contai
ning cisplatinum. However, the overall prognosis of these metastases r
emains poor.