I have had many squamous cell skin cancers removed, either by MOHS surgery or just excised with stitches. I was a lifeguard for many years when I was in high school and college and I think that I may now be paying the price. I never realized that squamous cell could also be metastatic. I had something develop on my lower lip that was first diagnosed by a NP at my local dermatologist as a squamous cell. I went to Mass General Hospital Dermatology dept and a very knowledgeable doctor told me that it was a precancer and not squamous cell (this time!). She was able to do that freezing spray that they use on my lip, several times, and it was painful, but I was just so grateful that it was not another squamous cell on my lip. All of my best wishes to both of you, Sue and Anna. I am so sorry to learn of all that you are both going through and have been through. MaryAnn from Boston