NB Basal Cell Carcinoma is excluded from the 2 week cancer pathway Skin Cancer Pathway Final Holistic assessment and rehabilitation consideration 2ww referral received in secondary care ID: 915734
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Pathway for patients with suspected Skin Cancer
NB. Basal Cell Carcinoma is excluded from the 2 week cancer pathway
Skin
Cancer Pathway
[Final]
Holistic assessment and rehabilitation consideration
2ww referral received in secondary care
16-18 years old – refer to Paediatric Oncology (GNCC) for treatment and TYA MDT for discussion
19-24 years old – continue on tumour site specific pathway & refer to TYA MDT for discussion.
First
Specialist Assessment
Is SCC or MM Suspected?
Local MDT discussion
Treatment plan agreed with patient
Specialist MDT to discuss investigation, treatment & Rehabilitation plan plus consideration for clinical trials
Further staging investigations as required
Dermatology
Is further treatment required?
Appropriate after care
First treatment?
See TYA pathway
Inform patient’s GP
Allocate Skin CNS/ Key Worker
Yes
No
Clinical History
Physical Examination
Patient discharged with information on self assessment and prevention
FNA
Imaging
Sentinel Node Biopsy
No
Y
es
Provide information and psychological support
Maximum wait in days
Initial biopsy of lesion
Pathology results discussed with patient
Is SCC or MM confirmed?
No
Patient discharged with information on self assessment and prevention
Y
es
Is further treatment required?
Y
es
No
Patient discharged with information on self assessment/prevention and follow up arranged
Liaise & involve healthcare professionals as required
Decision to treat date
Yes
Refer for discussion at Specialist MDT as required
First treatment
ECAD Date
Plastic Surgery
Radiotherapy
Chemotherapy
Specialist MDT discussion
Earliest Clinically Appropriate Date for commencement of subsequent treatment
Inter provider transfer point
10
7
31
14
24
62
31
OMF Surgery