SLOW GROWING PROLIFERATIVE SQUAMOUS CELL CARCINOMA OF LOWER BACK REGION - A CASE REPORT AND LITERATURE REVIEW

Cutaneous squamous cell carcinoma (cSCC) is a prevalent non-melanoma skin cancer, predominantly found on sun-exposed areas. However, rare presentations in protected regions such as the lower back are often associated with chronic irritation, non-healing ulcers, or prior indigenous treatments, leading to delayed diagnosis and management. Aim and Objective: To study the  slow growing proliferative squamous cell carcinoma of lower back region - a case report and literature review Case Summary: We present the case of a 70-year-old female with a 2-year history of an ulceroproliferative lesion on the lower back, initially mismanaged with indigenous therapies. Histopathological analysis confirmed well-differentiated squamous cell carcinoma. Imaging revealed subcutaneous infiltration without nodal involvement. The patient underwent wide local excision (WLE) with flap reconstruction. Histopathology confirmed negative margins, and the postoperative course was uneventful. Conclusion: This case underscores the importance of early diagnosis, imaging, and surgical management of chronic skin ulcers suspicious for malignancy, especially in elderly patients with comorbidities. Emphasis on community education and timely biopsy of non-healing ulcers is vital for early intervention, particularly in rural settings where indigenous treatments are common.