Squamous cell carcinoma typically develops in sun-damaged skin in fair-skinned patients. Squamous cell carcinomas, a type of skin cancer, can appear as a round, red mass, typically on a sun-exposed location. Large, white, slightly elevated lesions and an erosion of the tongue are signs of an oral squamous cell carcinoma. As displayed in this early squamous cell carcinoma, a small, elevated lesion may be accompanied with scale or a crust. Squamous cell carcinoma can involve the fingertip and begin under the fingernail, as displayed here.  Squamous cell carcinoma frequently appears on the face, as displayed in this image. This image displays a bleeding lesion typical of squamous cell carcinoma. This image displays squamous cell carcinoma on the nose, a frequent location due to chronic sun exposure. This image displays a squamous cell carcinoma on a black patient, which is infrequent. Squamous cell carcinoma can involve the fingertip and begin under the fingernail, as seen in this image.  This image displays a crusting and bleeding lesion on the lower lip typical of squamous cell carcinoma. This image displays multiple areas of sun damage and a large squamous cell carcinoma on the middle finger. This squamous cell carcinoma under the toenail has a pink to brown streak of discoloration of the nail plate as well as a thickened, rough area at the edge and under the nail plate. Due to chronic sun exposure, this foot had sun-induced freckles; a bleeding lesion; and a large, scaling lesion typical of squamous cell carcinoma. This image displays an elevated skin lesion typical of squamous cell carcinoma. A squamous cell carcinoma is often hard to distinguish from an actinic keratosis, which is its precursor.
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Picture of Squamous Cell Carcinoma (SCC): Squamous cell carcinoma typically develops in sun-damaged skin in fair-skinned patients. Divider line
Squamous cell carcinoma typically develops in sun-damaged skin in fair-skinned patients.
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Self-Care Guidelines
Preventing sun damage is crucial to avoiding the development of squamous cell carcinoma:
  • Avoid ultraviolet light exposure from natural sunlight or from artificial tanning devices.
  • Wear broad-spectrum sunscreens (blocking both UVA and UVB) with SPF 30 or higher, reapplying frequently.
  • Wear wide-brimmed hats and long-sleeved shirts.
  • Stay out of the sun in the middle of the day (between 10:00 AM and 3:00 PM)
If you have a new bump on sun-exposed skin or a non-healing sore on any part of your body, you should see your primary care provider or a dermatologist as soon as possible. There are no effective self-care treatment options for squamous cell carcinoma.

Once a month, you should perform a self-exam to look for signs of skin cancer. It is best to perform the exam in a well-lit area after a shower or bath. Use a full-length mirror with the added assistance of a hand mirror when necessary. Using a hair dryer can help you examine any areas of skin covered by hair, such as your scalp.

  • In front of a full-length mirror, inspect the front of your body making sure to look at the front of your neck, chest (including under breasts), legs, and genitals.
  • With your arms raised, inspect both sides of your body making sure to examine your underarms.
  • With your elbows bent, examine the front and back of your arms as well as your elbows, hands, fingers, area between your fingers, and fingernails.
  • Inspect the tops and bottoms of your feet, the area between your toes, and toenails.
  • With your back to the mirror and holding a hand mirror, inspect the back of your body, including the back of your neck, shoulders, legs, and buttocks.
  • Using a hand mirror, examine your scalp and face.
As you perform your monthly self-exam, familiarize yourself with the moles, freckles, and other marks on your body, and look for any changes in them from month to month, including shape, size, color, or other changes, such as bleeding or itching.
When to Seek Medical Care
If you have developed a new bump on sun-exposed skin, or if you have a spot that bleeds easily or does not seem to be healing, then you should make an appointment with your primary care physician or with a dermatologist. You should also make an appointment if an existing spot changes size, shape, color, or texture, or if it starts to itch, bleed, or become tender.

Try to remember to tell your doctor when you first noticed the lesion and what symptoms, if any, it may have (such as easy bleeding or itching). Also be sure to ask your parents, siblings, and adult children whether or not they have ever been diagnosed with skin cancer, and relay this information to your physician.
Last Modified: 29 Jan 2008
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