In rare cases, basal cell carcinoma will metastasize to regional lymph nodes. Both squamous cell carcinoma and Merkel cell carcinoma have a greater tendency for this type of spreading. Treatment of regional node metastases is surgery after the diagnosis is made. A node dissection is performed as in melanoma, but may be more technically demanding because of the difference in tumor growth.
Infiltrated lymph nodes are stiff or hard in consistency and have a round or mildly bumpy surface.
For extranodal tumor growth, considerable tumor involvement, or tumor spillage during surgery, radiation therapy should be assessed to prevent local recurrence.
A node dissection is performed in the groin , axilla , and neck.
- Nonmelanoma skin cancer with spreading to regional lymph nodes.