Although morphologically poorly differentiated, LELCS has been reported as having lower malignant potential than classic SCC, with rare metastases.5 However, in both of our cases, perineural invasion was identified, with a metastasis to the ipsilateral parotid in the first case. The courses of the disease in our cases, along with the published reports of metastasis to lymph nodes and internal organs with mortality, suggest that LELCS may infiltrate, recur, metastasize through lymphovascular or perineural invasion, and cause death. Therefore, complete removal is critical for the management of LELCS. Wide local excision or Mohs micrographic surgery may be used. Close follow-up is also recommended.