Skip to main content

Satellitosis vs. In-Transit Metastasis in Cutaneous Squamous Cell Carcinoma (cSCC)

Pahalyants V, Jairath NK, Maas DE, et al.
Journal (2025)

JC: December 2025

This study differentiated between satellitosis and in-transit metastasis in cutaneous squamous cell carcinoma, analyzing their distinct clinicopathologic features and prognostic implications. The findings provided clarity on the classification and management implications of these two forms of locoregional tumor spread.

Take-Home Messages

  • Distinguishing satellitosis from in-transit metastasis in cSCC has important prognostic and staging implications.
  • Both satellitosis and in-transit metastasis indicate aggressive tumor biology and should prompt evaluation for systemic disease.

Topic

SCC Risk & PNI

Cutaneous SCC risk stratification, perineural invasion, metastasis

Related MohsPedia Articles

Abstract

Satellitosis or in-transit metastasis (S-ITM) from cutaneous squamous cell carcinoma (cSCC) is associated with poor outcomes but is not included in current staging guidelines. To determine risk factors and prognostic significance of S-ITM. This cohort study included 8901 patients with cSCC from 12 institutions (1998-2023). Risk factors for S-ITM were calculated using logistic regression. Outcomes were compared with 1:2 propensity score matched controls using a Fine-Gray subdistribution hazard...

Literature review only. This summary is an editorial interpretation and may not reflect the complete findings of the original publication. Always refer to the full-text article for clinical decision-making.