No lymphatic spread in SCC

1- No lymphatic spread in SCC

2 - Lymphatic spread in SCC

Sir pls explain…

Or is there any difference in “Lymphatic spread” AND “Lymph node involvement” here.

First one is marjolin - it is a SCC which is forming in a region of a scar. Because of scarring of lymphatics, there is no lymphatic spread

Normally SCC Can spread via lymphatics

thank you sir