Table A1.
Diagnosis and Outcome Classification.
Specific Diagnoses | Includes: |
Melanocytic naevus | Junctional naevus, dermal naevus, compound naevus, blue naevus, acral naevus, Myerson naevus, cockade naevus, other benign naevus |
Atypical naevus | Atypical naevus, Spitz naevus, Reed naevus |
Benign keratosis | Seborrhoeic keratosis, solar lentigo, lichen planus-like keratosis, porokeratosis, viral wart |
Angioma | Angioma |
Dermatofibroma | Dermatofibroma |
Actinic keratosis | Actinic keratosis, actinic cheilitis |
IEC | Intraepithelial carcinoma |
SCC | Squamous cell carcinoma, keratoacanthoma, cutaneous horn |
BCC | Nodular basal cell carcinoma, morphoeic basal cell carcinoma, pigmented basal cell carcinoma, recurrent basal cell carcinoma, superficial basal cell carcinoma |
Melanoma | Superficial spreading melanoma, nodular melanoma, acral melanoma, lentigo maligna melanoma, melanoma-in-situ, lentigo maligna. |
Other | All other lesions not covered in the above diagnoses |
Benign–Malignant Classification | Includes: |
Benign | Melanocytic naevus, atypical naevus, benign keratosis, angioma, dermatofibroma, benign lesions in the other category |
Malignant | Melanoma, BCC, SCC |
Pre-malignant | IEC, actinic keratosis |
Uncertain | Lesions labelled uncertain or diagnosis not provided |
Outcome Advice | Includes: |
No action | No further lesion assessment or treatment required |
Monitor | GP or VLC skin lesion monitoring |
Topical | Cryotherapy, 5-fluorouracil, or imiquimod treatment |
Surgical | Excision or biopsy |
Review | Face-to-face review |
IEC—intraepidermal carcinoma; SCC—squamous cell carcinoma; BCC—basal cell carcinoma; VLC—virtual lesion clinic.