Combined high-grade basosquamous carcinoma and malignant melanoma of the scalp (malignant basomelanocytic tumor) metastasizing to the breast. A case report A. Pitino * , S. Squillaci, C. Spairani, F. Ottelli Zoletti, M. F. Cosimi, M. Ferrari, A. Tropiano, P. C. Rassu, F. Tuo, P. Maiocchi * San Giacomo Hospital, Division of Anatomic Pathology, Novi Ligure, Italy Objective: Background. Basal cell carcinoma (BCC) is a very low grade, usually not metastasizing skin malignancy, which needs to be radically excised.