This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General pathology, Subject name: Pathology
Basal cell carcinoma commonly spreads by- 
Select and explain. 
A. Lymphatics, B. Haematogenous, C. Direct spread, D. All the above
C: Direct spread
Answer: C: Direct spread 
Explanation: Harshmohan textbook of pathology 7th edition. even though basal cell carcinoma is a malignant one, it spread to the surrounding tissues , (locally aggressive cutaneous tumour) and that rarely metastasis. .