Squamous Cell Carcinoma Untreated for 2 Years

Time alone cannot show how far a tumour has progressed. A clinician needs to inspect the lesion, feel nearby tissue and lymph nodes when appropriate, and confirm the diagnosis with a sample. A longstanding area may have enlarged, ulcerated, crusted, or become tender, but those changes do not establish the stage. The assessment focuses on depth, margins, location, and any signs that disease involves nearby structures.

Book a dermatology appointment promptly and mention the full timeline, previous treatments, bleeding, pain, and changes in appearance. Do not cut, burn, or repeatedly cover the area with unprescribed products. Depending on the findings, treatment may include [Surgical Excision](/treatments/surgical-dermatology/excisional-surgery/), specialised margin-preserving surgery, or another form of [Skin Cancer Surgery](/treatments/surgical-dermatology/skin-cancer-surgery/). The appropriate choice depends on the confirmed diagnosis and the body site.

Seek urgent care for uncontrolled bleeding, severe or rapidly increasing pain, spreading redness, pus, fever, or a lesion that affects vision, swallowing, movement, or urination. Prompt review is also warranted if the growth is changing quickly or a nearby lump appears. Do not wait for symptoms to become severe before arranging evaluation.

Ask whether a biopsy is needed, what the examination suggests about depth and spread, and which treatment can remove the involved tissue safely. Ask how margins will be checked, whether additional tests are appropriate, how the wound may be repaired, and what follow-up schedule fits your result.