may lead to a poor cosmetic result at another highly visible o anatomical site (for example, anterior chest or shoulders) where a good cosmetic result is important to the patient. Incompletely excised BCCs should be discussed with a member of the LSMDT. Refer to core member of Local MDT BCC where there is any doubt about high or low risk status Superficial BCCs on the face Refer to core member of Local MDT – Superficial BCCs not on the face Refer to either – If the lesion is thought to be a superficial BCC the Core member of local GP should ensure that the patient is offered the MDT Or full range of medical treatments, including Group 3 GPwSI in dermatology photodynamic therapy. This may require and skin surgery referral to the LSMDT. Or Group 3a GPwSI in skin lesions and skin surgery Or GP accredited in Skin Cancer Suspected BCCs should usually be referred as routine. Consider 2 week referral if there is particular concern that delay may have an impact because of site or size of lesion. Squamous Cell Carcinoma 2 Week Referral to core member of Local MDT Keratoacanthoma 2 Week Referral to core member of Local MDT Melanoma 2 Week Referral to core member of Local MDT It is recognised that some skin cancers will be excised accidentally by GPs where the diagnosis was not apparent. These guidelines assume that GPs will not knowingly treat patients beyond their remit. See Section 9 for the Governance of skin cancer services in the community. 11-1C-110j Agreed network primary care referral guidelines and their distribution 11-6A-101j Network/PCT agreed primary care referral policy and distribution of the primary care referral guidelines
may lead to a poor cosmetic result o at another highly visible anatomical site (for example, anterior chest or shoulders) where a good cosmetic result is important to the patient. Incompletely excised BCCs should be discussed with a member of the LSMDT. BCC where there is any doubt about high or low risk status Refer to core member of Local MDT Superficial BCCs – on the face Refer to core member of Local MDT Superficial BCCs – not on the face If the lesion is thought to be a superficial BCC the GP should ensure that the patient is offered the full range of medical treatments, including photodynamic therapy. This may require referral to the LSMDT. Refer to either Core member of local MDT Or Group 3 GPwSI in dermatology and skin surgery Or Group 3a GPwSI in skin lesions and skin surgery Or GP accredited in Skin Cancer Suspected BCCs should usually be referred as routine. Consider 2 week referral if there is particular concern that delay may have an impact because of site or size of lesion. Squamous Cell Carcinoma 2 Week Referral to core member of Local MDT Keratoacanthoma 2 Week Referral to core member of Local MDT Melanoma 2 Week Referral to core member of Local MDT It is recognised that some skin cancers will be excised accidentally by GPs where the diagnosis was not apparent. These guidelines assume that GPs will not knowingly treat patients beyond their remit. See Section 9 for the Governance of skin cancer services in the community. 11-1C-110j Agreed network primary care referral guidelines and their distribution 11-6A-101j Network/PCT agreed primary care referral policy and distribution of the primary care referral guidelines
Guidelines-for-the-Management-of-Skin-Cancer-26.1.16.docx