“…SCC is less common than BCC, comprising 5-10% of eyelid malignancies with a BCC to SCC ratio of 4 to 1. 6,9 SCC occurs in sun-damaged skin and may arise de novo or from actinic keratosis. The latter results from atypical keratinocyte proliferation and is classified as a premalignant lesion, thus should be monitored closely for characteristics suggestive of malignant transformation.…”