Squamous cell carcinomas may develop from a flat area showing only slight changes from normal skin. A new growth, a spot or bump that gets larger over months or years, or a sore that doesn't heal are warning signs.
A squamous cell tumor often appears as a flat reddish area with a crusty surface that doesn't clear up. It may develop into a firm, growing lump that may ulcerate (become an open sore).

Squamous Cell Carcinoma |
Don't wait for a growth to hurt before seeing a doctor; pain is not usually associated with skin cancers, especially in the early stages. Untreated, squamous cell carcinoma may penetrate through to the lymphatic system, bloodstream, and nerve routes where it can cause pain and other signs of serious illness.