# Rapidly Growing Giant Squamous Cell Carcinoma of the Head: A Case Report

## TL;DR

A rare case of a large, aggressive skin cancer on the head in an elderly man is reported, with a good prognosis if treated.

## Contribution

This case report highlights the clinical presentation and management of a rare giant squamous cell carcinoma on the head.

## Key findings

- A 70-year-old man presented with a 7.9 x 5.7 x 2.5 cm fungating mass on his scalp.
- The biopsy confirmed poorly differentiated squamous cell carcinoma.
- The prognosis is favorable with appropriate outpatient treatment.

## Abstract

Giant squamous cell carcinoma (GSCC) of the skin arising on the head presents a distinctive clinical challenge due to its rarity, aggressive behavior, and potential for disfigurement. A male in his 70s with a history of tobacco cigarette use presented to the emergency department with a painful, bleeding mass on the right parietal scalp. On admission, a brain CT revealed a fungating mass with no cortical breakthrough or osseous erosion, measuring 7.9 x 5.7 x 2.5 cm. An ultrasound-guided tissue biopsy was performed and revealed poorly differentiated squamous cell carcinoma. The patient was discharged home with instructions from oncology to continue with outpatient treatment. At this time, the prognosis is good if treatment is received.