What are the recommended referral criteria for patients with suspected non-melanoma skin cancer?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Refer patients using a suspected cancer pathway referral within 2 weeks if they have a skin lesion that raises suspicion of squamous cell carcinoma, as indicated by features such as ulceration, induration, or a suspicious appearance .

Consider routine referral for skin lesions that raise suspicion of basal cell carcinoma, characterized by features such as ulcer with a raised rolled edge, prominent fine blood vessels, or a pearly or waxy nodule .

Only consider a suspected cancer pathway referral for basal cell carcinoma if there is particular concern that delay may significantly impact, due to factors like lesion site or size .

Related Knowledge Topics

Educational content only. Always verify information and use clinical judgement.