Squamous cell carcinomas are the second most common skin cancer involving sun exposed skin most frequently the head, scalp, neck, arms, and legs. These cancers are usually red crusted warty like scaly patches and bumps that may bleed easily and seem to not heal. Treatment can include topical chemotherapy creams, surgical removal, and in some cases radiation. If left untreated, local destruction and deformity may occur in addition to spread of the cancer to the lymph nodes in high risk areas like the ears, lips, and hands.