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"spread outside" is a correct and usable phrase in written English.
It can be used when referring to something that has become more widely known or accepted. For example: "The news of the scandal quickly spread outside the city limits."
Exact(60)
Let it spread outside Kampala.
The country's first equine flu outbreak has spread outside Sydney.
The artistic inspiration has spread outside the village.
"Our estimation is the cholera outbreak might spread outside Juba".
In almost all of them the cancer had spread outside the lungs.
Also as in 2005, the current unrest has spread outside Paris.
How far this thinking has spread outside the political and military elite is open to question.
Their affair spread outside of the lab and was soon an open secret on campus.
However, genuine health promotion needs to spread outside the school gates.
Officials said this year that attacks could spread outside the region.
Those are the indolent cancers, ones that never grow much or spread outside the breast.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com