Squamous Cell Carcinoma of Parieto-Occipital Region of the Scalp: A Case Report and Review of Literature

Introduction: Squamous cell carcinoma usually follows exposure to ultraviolet radiation (UV-B), immunosuppression, inflammation (from trauma or burns), and chemicals. A common end stage complication of a broad array of inflammatory skin conditions, SCC occasionally occurs in scars following inflammatory or degenerative processes. Case Study: Here, the case of an 84-year-old male is reported who presented with a complaint of the non-healing lesion over the parieto-occipital region for 1month. A plain high resolution CT study of the head and evidence of a large soft tissue density lesion was obtained without any evidence of metastasis or intracranial extensions or erosions. Wide superficial local excision revealed a well-differentiated squamous cell carcinoma without any metastasis. Histopathologic evaluation of the scalp mass, revealed it to be at pT3 as per TNM staging, extending from epidermis to subcutis (Clark level V). The patient underwent wide local excision with split skin grafting. Discussion: The incidence of SCC is common in older, caucasian males; while being in people with Asian or African descent. This makes early recognition, diagnosis, treatment and reporting of the lesions essential.