What is the first treatment for squamous cell skin cancer?

Squamous cell skin cancer begins in surface skin cells. Surgery aims to remove the visible tumour together with a margin of nearby tissue, then the specimen is examined to check the edges. The precise operation depends on the site, depth, size and appearance of the lesion. Radiotherapy may be considered when surgery is unsuitable, when the tumour is difficult to remove completely, or when additional local treatment is needed. Immunotherapy is generally discussed for selected advanced cancers rather than as the routine first step for a small, removable skin tumour.

Arrange assessment with a dermatologist or oncology team and take any biopsy report or imaging results to the appointment. Ask how the tumour's location affects the operation, whether reconstruction may be needed, and how the pathology result will guide further care. Protect the treated area from strong sun and follow wound-care instructions after a procedure.

Seek prompt medical review for a sore that does not heal, a firm or scaly growth that enlarges, repeated bleeding, or a tender area that changes. After treatment, contact the care team promptly for spreading redness, worsening swelling, fever, uncontrolled bleeding or a wound that opens.

Which procedure fits the tumour's site and depth? How will you check that all cancer cells were removed? Would radiotherapy or immunotherapy be relevant in my case? What changes should make me return sooner?