The cauliflower-like sarcoma on the head is considered to be caused by common warts, sebaceous nevus, squamous cell carcinoma and other conditions. 1. common warts: common warts are a skin disease caused by low-risk human papillomavirus infection. The typical lesion is a soybean-sized or larger gray-brown, brown, or skin-colored papule with a rough surface and hard texture, which may appear as a papillomatous growth. It can be treated by physical therapy such as freezing, or topical application of 5% imiquimod ointment as prescribed by the doctor. 2. Sebaceous nevus: the skin lesions occur in the head and face, usually round, ovoid or banded plaques, the edge is not neat, often a single, occasionally multiple, old age lesions are wart-like, solid texture, brown. This disease can be treated by laser, electrocautery or surgical excision. 3. Squamous cell carcinoma: This disease occurs in the skin of the exposure area of the elderly. At the beginning, the skin lesions are often small and hard red nodules, easy to evolve into wart or papilloma, the center is easy to ulcerate, the surface of ulcers is granular, the edge of ulcers is wider, and the elevation is cauliflower-like. Treatment can be selected according to the size of the tumor, the degree of tissue differentiation, the patient’s age and physical status, with surgical excision as the mainstay. Cauliflower-like sarcoma on the head may also be other reasons, it is recommended that patients seek medical examination as soon as possible to clarify the cause of the disease under the guidance of the doctor to actively treat, to avoid delays in the condition.