A 51-year-old White woman presents with suspected basal cell carcinoma (BCC). Which of the following is NOT true about BCC?

Choice A reason: This is true; BCC typically presents as pearly papules with visible blood vessels or ulceration. Choice B reason: This is true; BCC develops primarily on sun-exposed skin, rarely affecting mucous membranes or extremities. Choice C reason: This is true; BCC is the most common form of skin cancer and cancer overall in humans. Choice D reason: This is false; BCC is usually slow-growing and rarely metastasizes. Rapid growth and frequent metastasis are atypical, making this the incorrect statement.