Squamous Cell Carcinoma (SCC) is the second most common form of skin cancer. It occurs most often in areas exposed to the sun, but can occur anywhere, even the genital skin. SCC is usually sun-related; however, other factors may increase risk. People with chronic immunosuppression (whether from medications or disease), exposure to X-rays or arsenic in well water, areas of trauma such as burns, scars or areas exposed to certain chemicals, although it is commonly many years later. SCC may start as a precancerous lesion called an Actinic Keratosis. SCC lesions typically appear as pink, scaly, rough patches or bumps. Treatments include one or a combination of topical medications or cryotherapy (if caught early), local excision or Mohs Surgery .