<prompt> Basal cell carcinoma spread byLymphaticsHaematogenousDirect spreadNone of the above  <response>: 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 