Skin Cancer Information

If clinical concerns but doesn't appear to fit criteria, consider using A&G through ERS.

Melanoma: 

  • Affected area changes in size (2)
  • Has a irregular shape (2)
  • Has irregular colour (2)
  • Largest diameter 7mm or more (1)
  • Inflammation (1)
  • Oozing  (1)
  • Change in sensation  (1)

If score is greater than or equal to 3, refer via 2ww form.
However, any one feature is adequate to prompt urgent referral.
For more information, click the below link:

NICE - Melanoma

Squamous-Cell Carcinoma (SCC):

  • Non-healing, crusting legion >1cm
  • Crusted with significant induration
  • Documented expansion >8 weeks
  • New rapidly growing legion
  • Histological diagnosis of SCC

Basal Cell Carcinoma (BCC):

  • Ulcerated, crusted or scabbed legion not healing
  • Pearly border

Locations:

  • Face
  • Hand/Back of Hand
  • Ear
  • Lower Leg
  • Other

Risk Factors:

  • Prolonged UV Exposure
  • Immunosuppression
  • Previous skin cancer

Have you considered using the Teledermatology Service via Advice and Guidance (access from Dermatology)?

Significant Weight Loss Only?

Non Site-Specific Pathway