“…12 In North America level of invasion is commonly reported rather than neoplasm thickness for SCC. 32 In this study, we measured level of invasion as used for malignant melanoma 12,13 and by other investigators for SCC. 35,36 Most lethal neoplasms invaded to the subcutis (level 5), 3 of 35 had invaded the reticular dermis, and no level 3 neoplasms resulted in metastasis and death.…”