Squamous Cell Carcinoma (SCC) arises from an epithelial cell lineage, and depending on the site of occurrence can have variable presentation and prognosis. The mean age of presentation is typically in the sixth decade of life, twice as prevalent in men. Sunlight exposure for long periods can lead to SCC of the cutaneous variety. History and Clinical examination are diagnostic, but can be supplemented with a edge biopsy, CT and MRI. Management entails a variety of treatment modalities, ranging from Electrodessication, Mohs Micrographic Surgery, Wide Excision, Radiotherapy and Chemotherapy. We present a case of 45 year old female, with SCC involving the scalp, managed by Wide Local Excision with Split Thickness Skin Graft and Rotational Flap. Postoperative HPR Suggests adequate margins and patient is on a 6 monthly follow up schedule to rule out recurrence.
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