how does skin cancer turn into lymphoma

3 hours ago 2
Nature

Skin cancer and lymphoma are distinct types of cancers arising from different cells, and skin cancer does not "turn into" lymphoma. However, there are important links and interactions between the two:

  • Different origins: Skin cancer originates from skin cells (such as melanocytes in melanoma or keratinocytes in squamous cell carcinoma), whereas lymphoma is a cancer of lymphocytes, a type of white blood cell in the immune system. Skin lymphoma (cutaneous lymphoma) specifically arises from lymphocytes in the skin, not from skin cells themselves
  • Association and increased risk: Patients with lymphoma, especially non-Hodgkin lymphoma (NHL) and chronic lymphocytic leukemia (CLL), have a significantly increased risk of developing skin cancers such as melanoma and non-melanoma skin cancers. This is largely due to immune system suppression caused by the lymphoma itself or its treatments, which reduces the body's ability to detect and destroy cancerous cells
  • Immune suppression link: The immune suppression in lymphoma patients can lead to more aggressive skin cancers with higher rates of recurrence, metastasis, and mortality. Conversely, skin cancers do not transform into lymphoma, but the coexistence of these cancers in the same patient is common due to shared risk factors like immune dysfunction
  • Distinct diseases, not transformation: Skin lymphoma is a separate disease entity where lymphocytes become cancerous in the skin. It is not a progression or transformation of skin cancer but a lymphoma that manifests in the skin

In summary, skin cancer does not turn into lymphoma. Instead, lymphoma patients have a higher risk of developing skin cancers due to immune suppression, and skin lymphomas are a distinct type of lymphoma that originates from lymphocytes in the skin, not from skin cancer cells. The relationship is one of increased risk and coexistence rather than direct transformation.