See skin cancer photos. Squamous cell carcinoma can occasionally spread into the lymph nodes and internal organs. This occurs more often with large, aggressive squamous cell carcinomas or rapidly-growing tumors on the ears, scalp, lips or genitalia.quamous cell carcinoma can occasionally spread into the lymph nodes and internal organs. This occurs more often with large, aggressive squamous cell carcinomas or rapidly-growing tumors on the ears, scalp, lips or genitalia.