References

Cancer Research UK. 2020. https://www.cancerresearchuk.org/about-cancer/melanoma/symptoms (accessed 8 August 2022)

Guerra KC, Zafar N, Crane JS Skin Cancer Prevention.Treasure Island (FL): StatPearls Publishing; 2021

Jones OT, Ranmuthu CKI, Hall PN, Funston G, Walter FM Recognising skin cancer in primary care. Adv Ther. 2020; 37:(1)603-616 https://doi.org/10.1007/s12325-019-01130-1

Mayes K What is the scale of skin cancer problem in the UK?. Journal of Aesthetic Nursing. 2018; 7:(4) https://doi.org/10.12968/joan.2018.7.4.230

Nasr I, McGrath EJ, Harwood CA British Association of Dermatologists guidelines for the management of adults with basal cell carcinoma 2021. Br J Dermatol. 2021; 185:(5)899-920 https://doi.org/10.1111/bjd.20524

The National Cancer Registration and Analysis Service. 2022. http://www.ncin.org.uk/home (accessed 8 August 2022)

National Institute for Health and Care Excellence. 2021. https://www.nice.org.uk/guidance/ng12 (accessed 8 August 2022)

Poon TS, Barnetson RS The importance of using broad spectrum SPF 30+ sunscreens in tropical and subtropical climates. Photodermatol Photoimmunol Photomed. 2002; 18:(4)175-178 https://doi.org/10.1034/j.1600-0781.2002.00768.x

Romanhole RC, Ataide JA, Moriel P, Mazzola PG Update on ultraviolet A and B radiation generated by the sun and artificial lamps and their effects on skin. Int J Cosmet Sci. 2015; 37:(4)366-370 https://doi.org/10.1111/ics.12219

Ward WH, Lambreton F, Goel N, Yu JQ, Farma JM Clinical Presentation and Staging of Melanoma. In: Ward WH, Farma JM Brisbane (AU): Codon Publications; 2017

Skin cancer: getting back to basics

02 September 2022
Volume 33 · Issue 9

Abstract

Skin cancer is the most common form of cancer in the UK. Claire Machin and Jayne Alchorne provide an overview of the causes of skin cancer, patients most at risk and provide advice for when and how to refer for specialist advice, as well as information on prevention

The article aims to provide a timely refresher to all health professionals working in primary care on skin cancer. Our interaction with patients, no matter what form it takes, places us in a unique and privileged position to observe and protect patients from a potentially disfiguring and life-threatening skin cancer. The skin is easily accessible, which enables the early detection and referral of potential skin cancers. This article will explore what causes skin cancer, patients most at risk, define the different types and most common forms of skin cancer, and provide advice for when and how to refer for specialist advice. The fundamental principles of sun safety will also be explored to ensure skin cancer prevention remains at the forefront of agendas.

Skin cancer is the most common form of cancer in the UK, but thankfully most skin cancers can be cured if detected early. Skin cancer is an umbrella term for two main sub-types: melanoma and non-melanoma (basal cell carcinoma (BCC) and squamous cell carcinoma (SCC)), which are named after their cell origin (Cancer Research UK, 2021). However, there are other types which are rare. A melanoma skin cancer often poses the most significant threat to life. However, non-melanoma cancers are responsible for significant disease burden and account for 90% of all skin cancers registered in the UK and Ireland (The National Cancer Registration and Analysis Service, 2022). In 2015 more than 142 000 non-melanoma cases were diagnosed – 80% BCC and 20% SCC – an increase of 77% between 1994 and 2014 (Jones et al, 2020). However, these figures represent an underestimation of the true impact of disease, as only first tumours are recorded. The burden of disease is relentless and on the increase; therefore, health professionals must educate themselves to better screen for skin cancers, provide advice to patients and ensure they are referred appropriately and receive timely care.

Register now to continue reading

Thank you for visiting Practice Nursing and reading some of our peer-reviewed resources for general practice nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month