This study examined the management approach and clinical outcomes for squamous cell carcinoma of the scalp, a location associated with higher recurrence and metastasis rates. The findings emphasized the importance of complete margin assessment and consideration of adjuvant therapy for high-risk scalp SCC.

Scalp SCC carries higher rates of recurrence and metastasis compared to other anatomic sites and warrants aggressive surgical management.

Mohs surgery with complete margin assessment is particularly valuable for scalp SCC given the elevated risk of subclinical extension.