Diagnosis of cutaneous metastases is based on clinical findings and a biopsy . Other examinations relate to signs and symptoms of infection, pain, and tenderness. Factors that affect healing, concurrent disease, effects of previous therapy, nutritional status, and immunosuppressive therapy are all details that must be considered in the treatment of lesions. The underlying cancer should be treated as part of the treatment of the cutaneous metastases. Usually this involves systemic therapy with or without local treatment.
Symptom relief is the basis for treatment of advanced disease and advanced lesions.
Multiple lesions usually require treatment with systemic chemotherapy. Other treatment involves lessening complications related to infection, bleeding, odor, and pain. Patients may feel isolated or shunned if the lesions are visible or have a noticeable odor. Bleeding can be controlled with special dressings or chemicals. The dressing should be changed when leakage occurs.