Hello and welcome!
I’ve had goldfish live long and happy lives with carp pox lesions. I didn’t do anything to them, as there is no treatment. Yes, it can lower their natural immunity to other fishy diseases. It can spread (it’s a virus). With cooler water temps, the lesions will be more noticeable. But as to whether you should euthanize….that is entirely up to you. It’s purely cosmetic and doesn’t affect the fish’s life. If lesions were on the gills or in/on the mouth, they could interfere with eating or breathing — that’s a possible lifestyle issue.