Basal cell carcinoma is the most common human cancer worldwide. It‘s an epithelial cancer developed from epidermal tissue, happening most frequently from novo, localized only to the skin, with local malignancy. His prognosis is relatively good but premature management, in effect surgical excision is necessary, given its significant potential tissue destruction leading to high morbidity. Numerous clinical and histological types are reported, specifically tattooed or pigmented basal cell carcinoma which poses the differential diagnosis problem with melanoma. Here we report a case of Basal cell carcinoma of the face, inadequately treated for long time, noticed at an advanced stage.