Pigmented lesions on any part of the body which have one or more of the following features:
- Rapid growth in height or area.
- Change in colour or more than three colours at presentation.
- Lesion which is significantly different from patient's other moles.
- Growing subungual lesions.
- Lesion with persistent surrounding inflammation or altered sensation.
- Persistent ulceration, bleeding or oozing in absence of trauma.
- New growing nodule whether pigmented or not.
Squamous Cell Carcinoma
Urgent referral for:
- Lesions which grow rapidly over 6 weeks, especially on ear, columella or lip.
- Slow growing, non-healing lesions with induration (esp. face, scalp, back of hand) expanding over 1-2 months.
- If invasive SCC diagnosed from biopsy undertaken in general practice.
- Patients who are immunosuppressed especially after organ transplantation have a higher incidence of aggressive SCC with metastatic potential compared to immune competent patients.
Basal Cell Carcinoma
- The majority of BCCs do not need urgent referral.
- Lesions with very long history (>10 years) have the potential to metastasise.
- Urgent referral for recurrent BCC and those invading potentially dangerous areas, e.g. auditory meatus, eye, base of nose or any major vessel.
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