Background: Basal cell carcinoma (BCC) is an extremely common malignancy. Unlike other skin cancers, it very rarely metastasises.
Methods: We present two cases of advanced BCC on the eyelids that metastasized to the parotid region after local excision.
Discussion: We include a review of patients with metastatic BCC originating from the eyelids.
Conclusion: Metastatic BCC from the eyelids is rare, but appears to occur in an older age group with a shorter time before metastasis when compared to metastatic BCC as a whole.