Squamous cell carcinoma of the head and neck. Selective management according to site and stage--skin

Cutaneous squamous cell carcinoma is a more aggressive tumor than basal cell carcinoma. It can be associated with extension far from the site of origin and lymph node metastasis. Its etiology is similar to that of basal cell carcinoma. Treatment for the aggressive and uncontrollable tumor seems best accomplished with a combination of conventional surgery with total microscopic marginal control.