Squamous cell carcinoma of nail unit masquerading as pyogenic granuloma

Squamous cell carcinoma (SCC) of a nail unit is an uncommon tumour with low metastatic potential. These tumours are commonly misdiagnosed due to their variable presentation. We report a case of a 53-year-old female presenting with a solitary, painless growth with bleeding tendency, present over her right index finger, persisting for 4 years. Histopathological examination confirmed the diagnosis of SCC. This report aims to highlight the clinical presentation, diagnostic approach and treatment of SCC in an unusual location, emphasising the importance of early detection and management.