In perennial trees and shrubs, cankers are sunken, dead areas on twigs, branches or trunks surrounded by living tissue. The sunken appearance is due to the death of underlying tissue.
Cankers usually have distinct margins between dead and living tissues.
They may grow slowly, increasing in size year after year. Once the canker grows completely around a branch, girdling the branch, the parts above the diseased area usually die back. Cankers are most common on trees and shrubs under stress. Bacterial cankers generally begin as infections of leaves or flowers. Then the bacteria rapidly progress down the petiole and twig, killing the shoot down to a major branch.