M THE DAILY INSIGHT
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Can skin cancer on the face spread?

By Andrew Mckinney

Skin cancer cells can sometimes spread to other parts of the body, but this is not common. When cancer cells do this, it’s called metastasis. To doctors, the cancer cells in the new place look just like the ones from the skin. Cancer is always named based on the place where it starts.

Can skin cancer be transmitted?

No, skin cancer is absolutely not contagious—either by touch or by any other means. Although certain viral and bacterial infections are linked to 15–20% of cancers worldwide, cancer itself is not the kind of disease that can be transmitted by close contact and shared air.

Do skin cancer spots spread?

Over 95% of skin cancers can be successfully treated if they are found early. If untreated, melanomas can spread to other parts of the body and may not be curable so it is important to see your doctor as soon as you notice any changes to your skin.

How does skin cancer spread?

The cancer has spread through the lymphatic system, either to a regional lymph node located near where the cancer started or to a skin site on the way to a lymph node, called “in-transit metastasis.” In-transit metastasis may have reached these other lymph nodes.

Where does skin cancer spread to first?

Normally, the first place a melanoma tumor metastasizes to is the lymph nodes, by literally draining melanoma cells into the lymphatic fluid, which carries the melanoma cells through the lymphatic channels to the nearest lymph node basin.

What are the signs that skin cancer has spread?

If your melanoma has spread to other areas, you may have:

  • Hardened lumps under your skin.
  • Swollen or painful lymph nodes.
  • Trouble breathing, or a cough that doesn’t go away.
  • Swelling of your liver (under your lower right ribs) or loss of appetite.
  • Bone pain or, less often, broken bones.

Does skin cancer on face hurt?

Skin cancers often don’t cause bothersome symptoms until they have grown quite large. Then they may itch, bleed, or even hurt. But typically they can be seen or felt long before they reach this point.