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Recently, some cases of basal cell carcinoma (BCC) with lung metastasis have been reported,but those involving simultaneous tracheal, bronchial, and lung metastases have been rarelyreported. Here, we have reported a very unusual case of BCC with metastasis, presentingwith lung nodules and endobronchial lesions after two metastasectomies. Since BCC is aslow-growing cancer that rarely metastasizes to distant organs, tumor stage workup includ-ing radiological imaging has not been routinely performed in clinical practice. This caseshowed that BCC can metastasize to the lung, although the currently reported metastasisrate of BCC is extremely low.