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. 1995 Feb;45(391):97–101.

Prevention, early detection and team management of skin cancer in primary care: contribution to The health of the nation objectives.

A Jackson
PMCID: PMC1239144  PMID: 7702891

Abstract

The incidence of all skin cancers is increasing. If The health of the nation targets are to be addressed, incidence figures need to be more accurate. Solar damage is the major causal factor in all skin cancers. Certain individual risk factors also play an important part, especially in the development of malignant melanoma. Prevention and early detection are crucial in reducing morbidity and mortality from skin cancer. This paper considers the role of primary care skin screening clinics and cutaneous surgery facilities in the early detection and management of skin cancer. It also illustrates the value of a team approach in primary care in the prevention and early detection of skin cancer and in the more accurate recording of incidence rates.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Amron D. M., Moy R. L. Stratospheric ozone depletion and its relationship to skin cancer. J Dermatol Surg Oncol. 1991 Apr;17(4):370–372. doi: 10.1111/j.1524-4725.1991.tb01713.x. [DOI] [PubMed] [Google Scholar]
  2. Beadle P. C., Bullock D., Bedford G., Leach J. F., Webb R. A., Dent N. A., Burton J. L. Accuracy of skin cancer incidence data in the United Kingdom. Clin Exp Dermatol. 1982 May;7(3):255–260. doi: 10.1111/j.1365-2230.1982.tb02424.x. [DOI] [PubMed] [Google Scholar]
  3. Beral V., Evans S., Shaw H., Milton G. Cutaneous factors related to the risk of malignant melanoma. Br J Dermatol. 1983 Aug;109(2):165–172. doi: 10.1111/j.1365-2133.1983.tb07077.x. [DOI] [PubMed] [Google Scholar]
  4. Bricknell M. C. Skin biopsies of pigmented skin lesions performed by general practitioners and hospital specialists. Br J Gen Pract. 1993 May;43(370):199–201. [PMC free article] [PubMed] [Google Scholar]
  5. Curley R. K., Cook M. G., Fallowfield M. E., Marsden R. A. Accuracy in clinically evaluating pigmented lesions. BMJ. 1989 Jul 1;299(6690):16–18. doi: 10.1136/bmj.299.6690.16. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Doherty V. R., MacKie R. M. Experience of a public education programme on early detection of cutaneous malignant melanoma. BMJ. 1988 Aug 6;297(6645):388–391. doi: 10.1136/bmj.297.6645.388. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Doherty V. R., MacKie R. M. Reasons for poor prognosis in British patients with cutaneous malignant melanoma. Br Med J (Clin Res Ed) 1986 Apr 12;292(6526):987–989. doi: 10.1136/bmj.292.6526.987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Elwood J. M., Gallagher R. P., Hill G. B., Spinelli J. J., Pearson J. C., Threlfall W. Pigmentation and skin reaction to sun as risk factors for cutaneous melanoma: Western Canada Melanoma Study. Br Med J (Clin Res Ed) 1984 Jan 14;288(6411):99–102. doi: 10.1136/bmj.288.6411.99. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Geller A. C., Koh H. K., Miller D. R., Clapp R. W., Mercer M. B., Lew R. A. Use of health services before the diagnosis of melanoma: implications for early detection and screening. J Gen Intern Med. 1992 Mar-Apr;7(2):154–157. doi: 10.1007/BF02598004. [DOI] [PubMed] [Google Scholar]
  10. Godlee F. Dangers of ozone depletion. BMJ. 1991 Nov 23;303(6813):1326–1328. doi: 10.1136/bmj.303.6813.1326. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Graham-Brown R. A., Osborne J. E., London S. P., Fletcher A., Shaw D., Williams B., Bowry V. The initial effects on workload and outcome of a public education campaign on early diagnosis and treatment of malignant melanoma in Leicestershire. Br J Dermatol. 1990 Jan;122(1):53–59. doi: 10.1111/j.1365-2133.1990.tb08239.x. [DOI] [PubMed] [Google Scholar]
  12. Herd R. M., Hunter J. A., McLaren K. M., Chetty U., Watson A. C., Gollock J. M. Excision biopsy of malignant melanoma by general practitioners in south east Scotland 1982-91. BMJ. 1992 Dec 12;305(6867):1476–1478. doi: 10.1136/bmj.305.6867.1476. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Jackson A. D. Treatment of skin cancers in general practice. Br J Gen Pract. 1991 May;41(346):213–213. [PMC free article] [PubMed] [Google Scholar]
  14. Joseph M. G., Zulueta W. P., Kennedy P. J. Squamous cell carcinoma of the skin of the trunk and limbs: the incidence of metastases and their outcome. Aust N Z J Surg. 1992 Sep;62(9):697–701. doi: 10.1111/j.1445-2197.1992.tb07065.x. [DOI] [PubMed] [Google Scholar]
  15. Ko C. B., Walton S., Keczkes K., Bury H. P., Nicholson C. The emerging epidemic of skin cancer. Br J Dermatol. 1994 Mar;130(3):269–272. doi: 10.1111/j.1365-2133.1994.tb02920.x. [DOI] [PubMed] [Google Scholar]
  16. Ko C. B., Walton S., Keczkes K. Extensive and fatal basal cell carcinoma: a report of three cases. Br J Dermatol. 1992 Aug;127(2):164–167. doi: 10.1111/j.1365-2133.1992.tb08050.x. [DOI] [PubMed] [Google Scholar]
  17. Krige J. E., Isaacs S., Hudson D. A., King H. S., Strover R. M., Johnson C. A. Delay in the diagnosis of cutaneous malignant melanoma. A prospective study in 250 patients. Cancer. 1991 Nov 1;68(9):2064–2068. doi: 10.1002/1097-0142(19911101)68:9<2064::aid-cncr2820680937>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]
  18. Links between exposure to ultraviolet radiation and skin cancer. A report of the Royal College of Physicians. J R Coll Physicians Lond. 1987 Apr;21(2):91–96. [PMC free article] [PubMed] [Google Scholar]
  19. MacKie R. M. Clinical recognition of early invasive malignant melanoma. BMJ. 1990 Nov 3;301(6759):1005–1006. doi: 10.1136/bmj.301.6759.1005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. MacKie R. M., Freudenberger T., Aitchison T. C. Personal risk-factor chart for cutaneous melanoma. Lancet. 1989 Aug 26;2(8661):487–490. doi: 10.1016/s0140-6736(89)92097-7. [DOI] [PubMed] [Google Scholar]
  21. Mackie R. M., Rycroft M. J. Health and the ozone layer. BMJ. 1988 Aug 6;297(6645):369–370. doi: 10.1136/bmj.297.6645.369. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Maducdoc L. R., Wagner R. F., Jr, Wagner K. D. Parents' use of sunscreen on beach-going children. The burnt child dreads the fire. Arch Dermatol. 1992 May;128(5):628–629. [PubMed] [Google Scholar]
  23. Mallett R. B., Fallowfield M. E., Cook M. G., Landells W. N., Holden C. A., Marsden R. A. Are pigmented lesion clinics worthwhile? Br J Dermatol. 1993 Dec;129(6):689–693. doi: 10.1111/j.1365-2133.1993.tb03332.x. [DOI] [PubMed] [Google Scholar]
  24. Marks R., Rennie G., Selwood T. The relationship of basal cell carcinomas and squamous cell carcinomas to solar keratoses. Arch Dermatol. 1988 Jul;124(7):1039–1042. [PubMed] [Google Scholar]
  25. Marks V. J. Actinic keratosis. A premalignant skin lesion. Otolaryngol Clin North Am. 1993 Feb;26(1):23–35. [PubMed] [Google Scholar]
  26. McWilliam L. J., Knox F., Wilkinson N., Oogarah P. Performance of skin biopsies by general practitioners. BMJ. 1991 Nov 9;303(6811):1177–1179. doi: 10.1136/bmj.303.6811.1177. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Morales Suárez-Varela M., Llopis González A., Ferrer Caraco E. Non-melanoma skin cancer: an evaluation of risk in terms of ultraviolet exposure. Eur J Epidemiol. 1992 Nov;8(6):838–844. doi: 10.1007/BF00145329. [DOI] [PubMed] [Google Scholar]
  28. Nichols S. Effect of a public campaign about malignant melanoma on general practitioner workload in Southampton. Br Med J (Clin Res Ed) 1988 May 28;296(6635):1526–1526. [PMC free article] [PubMed] [Google Scholar]
  29. Rampen F. H., Rümke P., Hart A. A. Patients' and doctors' delay in the diagnosis and treatment of cutaneous melanoma. Eur J Surg Oncol. 1989 Apr;15(2):143–148. [PubMed] [Google Scholar]
  30. Roberts D. L. Incidence of non-melanoma skin cancer in West Glamorgan, South Wales. Br J Dermatol. 1990 Mar;122(3):399–403. doi: 10.1111/j.1365-2133.1990.tb08289.x. [DOI] [PubMed] [Google Scholar]
  31. Shenefelt P. D. Skin cancer prevention and screening. Prim Care. 1992 Sep;19(3):557–574. [PubMed] [Google Scholar]
  32. Shorrock K. Use of histopathology services by general practitioners: recent changes in referral practice. J Clin Pathol. 1993 Nov;46(11):989–992. doi: 10.1136/jcp.46.11.989. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Shrank A. B. General practitioners and minor surgery. Br J Dermatol. 1991 Dec;125(6):599–600. doi: 10.1111/j.1365-2133.1991.tb14804.x. [DOI] [PubMed] [Google Scholar]
  34. Sober A. J. Solar exposure in the etiology of cutaneous melanoma. Photodermatol. 1987 Feb;4(1):23–31. [PubMed] [Google Scholar]
  35. Vitasa B. C., Taylor H. R., Strickland P. T., Rosenthal F. S., West S., Abbey H., Ng S. K., Munoz B., Emmett E. A. Association of nonmelanoma skin cancer and actinic keratosis with cumulative solar ultraviolet exposure in Maryland watermen. Cancer. 1990 Jun 15;65(12):2811–2817. doi: 10.1002/1097-0142(19900615)65:12<2811::aid-cncr2820651234>3.0.co;2-u. [DOI] [PubMed] [Google Scholar]
  36. Whitehead S. M., Wroughton M. A., Elwood J. M., Davison J., Stewart M. Effects of a health education campaign for the earlier diagnosis of melanoma. Br J Cancer. 1989 Sep;60(3):421–425. doi: 10.1038/bjc.1989.298. [DOI] [PMC free article] [PubMed] [Google Scholar]

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