Referrals

Question 1

What are the major features of lesions on the skin?

Answer 1

Score 2 points each:

• Change in size
• Irregular shape
• Irregular colour

Question 2

What are the minor features of lesions on the skin?

Answer 2

Scoring 1 point each:

• Largest diameter >/=7mm
• Inflammation
• Oozing
• Change in sensation

Question 3

When should patients be referred for melanoma?

Answer 3

GP should refer to suspected cancer pathway for melanoma if 7-point checklist score of >/= 3. Referral to be made within 24hrs of seeing the patient. Most 2 week wait referrals also need a Rockwood Score (Clinical Frailty Score), recent bloods (eGFR) and BMI.

Question 4

How are pigmented lesions assessed?

Answer 4

• Asymmetry
• Border - uneven border is worrying
• Colour - moles with >/=2 colours
• Diameter - moles >5mm
• Elevation - moles that are becoming raised
• Firm - a mole feels firm or solid
• Growing - a mole showing signs of change