Abstract
Squamous cell carcinoma (SCC) is the second most common cutaneous malignancy, known to have several histologic subtypes with varying clinical presentations and behaviors. Sclerosing SCC is a rare subtype with increased risk of recurrence and metastasis. We describe an unusual variant of sclerosing SCC with perineural sclerosis to the extent of near obliteration of the cutaneous nerves. The patient presented for evaluation of multiple firm, indurated dermal papules coalescing into a 3.5 × 2.3 cm flesh-colored plaque of the left preauricular cheek associated with numbness and tingling of the ear lobule.
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