Symptom 9: Bleeding from the Tumor Site
When we think of a tumor, bleeding isn’t the first symptom that comes to mind. However, in the context of spindle cell carcinoma, spontaneous bleeding from the tumor site can be a distinct and worrying indicator. This isn’t about a minor scratch or abrasion; it’s unanticipated bleeding, especially when no apparent injury has occurred.
But why would a tumor bleed? One reason is skin breakdown or ulceration. Previously, we discussed how SCC can cause skin ulceration. These open sores, when formed, might bleed, especially if they are deep or wide. Furthermore, the rapid growth of the tumor can impact blood vessels in the area. The pressure or the invasive nature of the tumor might cause these vessels to rupture, leading to bleeding.
Bleeding isn’t just a surface problem. Open sores or bleeding points are prone to infections. When the skin barrier is breached, it provides an entry point for bacteria. If an infection sets in, it can further complicate the condition, potentially leading to systemic issues if not addressed promptly.
Seeing blood can be distressing. For a patient already concerned about a growing mass, the sight of blood can exacerbate anxiety and stress. It becomes a visual confirmation that the tumor is not just a passive lump but is actively affecting one’s health.(9)