A 65-year-old Caucasian woman developed frostbite on her right cheek after waiting at the bus stop in temperatures of approximately -42 C (average). Frostbite occurred within 1 h and initially presented as a white patch on the right cheek. Over time, the lesion developed into a scaly erythematous patch with irregular borders (Fig. 2). The lesion failed to heal and the patient was referred to an oncologist at the Astana Oncology Center 2 years after the frostbite occurred. Biopsy was performed and the specimen was sent for histopathological analysis. The diagnosis was a superficial SCC.