Skin Cancer

Services

Bedford Hospital NHS Trust

Skin Cancer Services

Skin cancer services at Bedford Hospital are provided by the Skin Team which consists of Consultants and Clinical Nurse Specialists. 

The Skin Team

The Consultants and Clinical Nurse Specialists are:

Consultants
Dr K Burova 01234 355 122 ext: Katya.Burova@bedfordhospital.nhs.uk
Dr O Cerburkov 01234 355 122 ext:2857 Oleg.Ceburkov@bedfordhospital.nhs.uk

Nurses
Julie Gordon 01234 355 122 ext:  Julie.Gordon.@bedfordhospital.nhs.uk

Outpatient Appointments

Following referral under the 2 week rule, patients will be seen in outpatients by a Consultant or another member of the team with 1-2 weeks

Outpatient clinics take place:

Day Morning Afternoon
Monday Dr Burova (bi-monthly) Dr Ceburkov
Tuesday - -
Wednesday Dr Ceburkov, Dr Burova -
Thursday - -
Friday - -

Who to Refer

All patients can be referred; particularly those covered by the Anglia Cancer Network area - NHS Bedfordshire residents in North and East Bedfordshire.

Melanoma Information

  • Change is a key element in diagnosing malignant melanoma.  For low-suspicion lesions, undertake careful monitoring for change using the 7-point checklist (see below) for 8 weeks.  Make measurements with photographs and a marker scale and/or ruler.
  • Be aware of and use the 7-point weighted checklist for assessment of pigmented skin lesions.
    • Major features of lesions:
      • Change in size.
      • Irregular shape.
      • Irregular colour.
    • Minor features of lesions:
      • Largest diameter 7mm or more.
      • Inflammation.
      • Oozing.
      • Change in sensation.
  • Lesions scoring 3 points or more (based on major features scoring 2 points each and minor features scoring 1 point each) in the 7-point checklist above are suspicious.  (If you strongly suspect cancer any one feature is adequate to prompt urgent referral).

Urgent Referral within 2 Weeks (under 2 week rule)

Melanoma

Refer urgently patients:

  • With a lesion suspected to be melanoma.  (Excision in primary care should be avoided).

Squamous cell carcinomas

Refer urgently patients:

  • With non-healing keratinizing or crusted tumours larger than 1cm with significant induration on palpation.  They are commonly found on the face, scalp or back of the hand with a documented expansion over 8 weeks.
  • Who have had an organ transplant and develop new or growing cutaneous lesions as squamous cell carcinoma is common with immunosuppression but may be atypical and aggressive.
  • With histological diagnosis of a squamous cell carcinoma.

Non-urgent

  • Basel cell carcinomas are slow growing, usually with significant expansion over 2 months, and usually occur on the face.  If basal cell carcinoma is suspected, refer non-urgently.

Macmillan Cancer Support Rapid Referral Guidelines

Macmillan Cancer Support Rapid Referral Guidelines

Who not to Refer

Patients outside of the Anglia Cancer Network area are usually referred to Hospitals within their Cancer Network area.  NHS Bedfordshire residents living in North and East Bedfordshire are included under the Anglia Cancer Network.

South Bedfordshire patients are included under the Mount Vernon Cancer Network and should be referred to the Luton & Dunstable Hospital NHS Foundation Trust.

Resources

Map of Medicine Patient Pathway

Map of Medicine Patient Pathway - suspected melanoma
Map of Medicine Patient Pathway - suspected basal cell carcinoma

NICE Guidelines:

CG27 Referral for suspected cancer: full guideline
http://guidance.nice.org.uk/CG27/Guidance
CG27 Referral for suspected cancer: quick reference guide
http://guidance.nice.org.uk/CG27/QuickRefGuide/pdf/English
CG27 Referral for suspected cancer: information for the public
http://guidance.nice.org.uk/CG27/PublicInfo/pdf/English
CG27 Referral for suspected cancer: NICE guideline
http://guidance.nice.org.uk/CG27/NICEGuidance/pdf/English

Website Resources

Skin Cancer (Melanoma) NHS Choices:
http://www.nhs.uk/conditions/Malignant-melanoma/Pages/Introduction.aspx
Macmillan Cancer Support - Melanoma:
http://www.macmillan.org.uk/Cancerinformation/Cancertypes/Melanoma/Melanoma.aspx
The Royal Marsden NHS Foundation Trust
http://www.royalmarsden.nhs.uk/diagnosis-treatment/cancer/pages/skin.aspx
Cancer Research UK (Melanoma):
http://cancerhelp.cancerresearchuk.org/type/melanoma/
The Skin Care Campaign
http://www.skincarecampaign.org/
The British Association of Dermatologists:
http://www.bad.org.uk/site/1/default.aspx
Skin Cancer (Non-Melanoma) NHS Choices:
http://www.nhs.uk/conditions/Cancer-of-the-skin/Pages/Introduction.aspx
Macmillan Cancer Support - Non-Melanoma:
http://www.macmillan.org.uk/Cancerinformation/Cancertypes/Skin/Skincancer.aspx
Cancer Research UK (Non-Melanoma):
http://cancerhelp.cancerresearchuk.org/type/skin-cancer/

Cancer Network

Anglia Cancer Network - for residents from Norfolk, Suffolk, Bedfordshire and Cambridgeshire
http://www.angliacancernetwork.nhs.uk/



Last updated: 24/01/2013

Update due: 24/01/2014