Our patient initially presented in 2015 with an ulcerative lesion over the scalp. Fine needle aspiration cytology (FNAC) from a regional enlarged lymph node showed features of metastatic poorly differentiated carcinoma and he underwent wide local excision with functional neck dissection. His next visit was after five years in 2020 with pain in the left hip region. Bone marrow biopsy was reported as metastatic carcinoma morphologically consistent with the patient's known basal cell carcinoma. He received palliative radiotherapy for the same at the hip region followed by platinum-based chemotherapy.