This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General surgery, Subject name: Surgery
Basal cell carcinoma spread by 
Select and explain. 
A. Lymphatics, B. Haematogenous, C. Direct spread, D. None of the above
C: Direct spread
Answer: C: Direct spread 
Explanation: Basal cell carcinoma - Spread BCC usually spread by local invasion, rarely metastasizes Rodnet ulcer: It gradually destroys the tissues, it comes in contact with Lymphatic spread is not seen (Regional lymph nodes are not enlarged) Blood spread is extremely rare Ref: Sabiston 20th edition Pgno :748