Pulmonary metastasis from cutaneous carcinoma is relatively infrequent, and extremely rare when the carcinoma is of basal-cell type. De Navasquez1 reported a case with metastases in bones and lungs, and Lattes and Kessler2 described two with widespread metastases, possibly including pulmonary lesions, the latter being demonstrable on roentgenograms but not confirmed by histologic examination. While a score or less of instances of basal-cell carcinomas metastatic to regional lymph nodes are generally accepted (e. g., References 2 to 7) attempts to determine the exact number of acceptably proved cases have been unrewarding. Thus, in their review of the literature Lattes and Kessler2 found 18 in addition to their own 2 cases, but several of these had already been rejected by Montgomery8 on the grounds that reexamination of the material showed the lesions to be of basal-squamous nature. Yet some early reports (e. g., Refer