Skin cancer can sometimes cause itching. This symptom is possible in all three of the most common types of skin cancer: basal cell carcinoma, squamous cell carcinoma, and melanoma.

Itching usually occurs after a visible change in the skin, such as a growth or lesion. Although skin cancer may be seen before it becomes itchy, once itching begins, it can impact your overall well-being, mental state, and physical comfort.

Only a healthcare provider can confirm whether itchy skin is caused by skin cancer. Many other conditions, like dry skin, may lead to itching. If skin cancer is the reason, there are options for both treatment and itch relief.

Why Skin Cancer May Be Itchy

Skin cancer may lead to itching due to inflammation in the upper layers of the skin. This inflammation irritates nerve endings, resulting in an itchy sensation.

severity of the cancer and itching

The severity of the skin cancer does not appear to influence how intense the itching is. Even as cancer progresses into deeper layers, itching typically does not worsen. Instead, patients may feel more pain rather than increased itchiness.

itching in other types of cancer

Itchiness due to inflammation is also found in other cancers like Hodgkin lymphoma, liver cancer, bile duct cancer, and breast cancer.

What Types of Skin Cancer Are Itchy?

Among the three most common types of skin cancer, about 37% of cases include itchy skin. This sensation, known medically as pruritus, is more often found in basal cell carcinoma and squamous cell carcinoma than in melanoma.

Basal Cell Carcinoma

Basal cell carcinoma starts in the lowest layer of the epidermis. It is the most common skin cancer in the United States, accounting for 80% of all skin cancer cases. It usually affects people with lighter skin tones and appears on sun-exposed areas such as the face, neck, arms, and hands.

itching and symptoms

About 31% of people with this cancer report some itching. Among those, nearly half experience itching several times a week, and around 20% have constant itching.

This type of cancer is highly treatable, especially if diagnosed early. Most patients undergo surgery or a biopsy to remove the cancerous tissue.

Squamous Cell Carcinoma

This cancer originates in the outer part of the epidermis where squamous cells are located. It’s the second most common form of skin cancer in the U.S., representing roughly 16% of all cases.

who it affects

It is more common in people with light skin and appears in sun-exposed areas like the face and hands. In people with darker skin, it may appear in areas not frequently exposed to sunlight.

itching and risks

Approximately 27% to 43% of people with squamous cell carcinoma report itching. This cancer is treatable but has a higher risk than basal cell carcinoma of spreading deeper or to other parts of the body.

Melanoma

Melanoma develops from melanocytes, the cells responsible for producing skin pigment. It’s a more aggressive form of skin cancer but is less common, making up only 4% of skin cancer cases in the U.S.

itching frequency

Itching is reported in about 5% to 29% of melanoma cases. Early detection and treatment are crucial, as melanoma is more likely than other skin cancers to spread.

Skin Cancer Risk Factors

Anyone can get skin cancer, but some people are at greater risk than others. Risk factors include:

  • Age over 50

  • Fair skin

  • Light-colored eyes

  • Blond or red hair

  • Long-term sun exposure

  • Smoking

  • A weakened immune system

Other Signs and Symptoms of Skin Cancer

Itchiness may not be the first sign. Often, skin cancer can be seen before it starts to itch.

Basal Cell Carcinoma

Basal cell carcinoma may appear as:

  • A pink or red bump

  • Translucent or shiny skin

  • Darker patches (blue, brown, or black)

  • Raised edges with a depressed center

  • Spider-like blood vessels

  • Flat yellow patches like a scar

  • Raised, red, itchy areas

  • Open sores that crust and ooze

Sores may look different depending on your skin tone. These areas may sting, burn, or tingle in addition to itching.

Squamous Cell Carcinoma

Signs include:

  • Rough, red, scaly patches

  • Raised lumps with a dip in the middle

  • Persistent open sores

  • Wart-like growths

You might also experience soreness, tenderness, numbness, or tingling in the affected area.

Melanoma

Common symptoms of melanoma include:

  • Moles that change color, size, or shape

  • Irregularly bordered dark spots

  • Dome-shaped growths

  • Dark patches under nails

  • Thickened skin resembling a scar

Melanoma may also cause bleeding or pain, along with itching.

Other Reasons for Itchy Skin

Many skin conditions can cause itching and are more common than skin cancer.

common causes include:

  • dry skin – a lack of moisture causes peeling and irritation

  • eczema – leads to inflamed, itchy skin

  • psoriasis – causes fast skin cell turnover and scaly patches

  • chickenpox – viral blisters that itch

  • folliculitis – infected hair follicles

  • hives – raised, red, itchy welts

  • seborrheic dermatitis – scaly rash on scalp or face

  • contact dermatitis – allergic or irritant reaction

  • insect bites – from mosquitoes, lice, mites

  • poison ivy – causes allergic rash and itch

How To Soothe Itchy Skin

If itching becomes uncomfortable or frequent, it's essential to manage it—especially while waiting for a diagnosis or undergoing treatment.

soothing strategies:

  • Avoid scratching to reduce infection risk

  • Apply a cool compress or pressure to itchy areas

  • Stay hydrated throughout the day

  • Wash in warm water with gentle cleansers

  • Avoid scented bath products or harsh detergents

  • Use moisturizers with emollients to repair the skin

  • Eat a balanced diet with essential nutrients for skin health

When To See a Healthcare Provider

If you develop new itchiness without an obvious cause, especially with visible changes in your skin, consult a healthcare provider.

They may perform a skin exam or take a biopsy to confirm whether it’s cancer or something else. You should also see a provider if you notice:

  • A new growth

  • A sore that won’t heal

  • A change in a mole

Itchy, raised, red patches may specifically signal basal cell carcinoma and should be checked.

A Quick Review

Skin cancer can cause itchiness, though it’s not always the first symptom. Basal cell carcinoma, squamous cell carcinoma, and melanoma may all lead to itchy skin. However, more common skin conditions like dry skin or eczema are usually responsible for itching.

If you have an area of itchy skin—especially one with a new or changing growth—seek medical advice. A proper diagnosis is key to effective treatment and comfort.