Address of Corresponding Author

Dermatology 2005;210:15-17 (DOI: 10.1159/000081476)

  Key Words

• Basal cell carcinoma
• Malignant melanoma
• Primary care
• Skin cancer
• Squamous cell carcinoma

  Abstract

Background: Generalists within the UK have for many years been performing minor surgical procedures. Little has been published concerning this activity. Objectives: To determine the management of skin malignancy in a UK general practice in order to allow comparison of activity with other practices and disciplines and to identify areas for research. Methods: Retrospective cohort study in an urban 4-partner general practice of 10,000 patients. Total ascertainment of all diagnosed skin malignancies over 10 years achieved by undertaking computerised searches. Results: 136 skin malignancies were identified in 101 patients. The recurrence rates for basal cell carcinomas managed in primary care were comparable to rates published for secondary care. A quarter of patients developed a metachronous skin malignancy or a recurrence. Conclusion: Almost half of all skin malignancies were wholly managed within primary care. There appeared to be no consistent pattern of management. There is a need for research and consensus on optimal care.

Copyright © 2005 S. Karger AG, Basel

  Author Contacts

Dr. M. Shapley, MA, FRCGP
General Practitioner and Research Fellow
Primary Care Sciences Research Centre, Keele University
Keele, Staffordshire ST5 5BG (UK)
Tel. +44 1782 583908, Fax +44 1782 583911, E-Mail m.shapley@cphc.keele.ac.uk

  Article Information

Received: April 22, 2004
Accepted: June 18, 2004
Number of Print Pages : 3
Number of Figures : 0, Number of Tables : 1, Number of References : 12