Who can refer
Patients must be referred by a health care professional or relevant member of staff.
Secondary referrals from the South East Network and tertiary referrals from any UK centre are accepted. Referrals from outside the UK can be accepted with prior authorisation.
How to refer
Please read the referral criteria below. If the patient meets the criteria, send your referral by post or fax (preferably with previous histology slides and/or blocks) to:
Skin cancer unit
St John's Institute of Dermatology
Staircase C, South Wing
St Thomas' Hospital
Westminster Bridge Road
London SE1 7EH
For lymphoma, graft versus host disease or melanoma
Fax: 020 7188 8145
For all other referrals
Fax: 020 7188 6377
Patients are usually seen within 10 working days.
Referral criteria for melanoma
patients with primary cutaneous melanoma and a Breslow thickness usually greater than 1mm
patients referred for consideration of sentinel node biopsy
patients with advanced stage 3 and 4 melanoma
patients for consideration of entry into clinical trials
NB: patients with pigmented lesions for diagnosis are not accepted
Referral criteria for cutaneous lymphoma
patients for diagnostic assesment of any possible primary cutaneous lymphoma (primary cutaneous B and T-cell lymphomas and other cutaneous heamatologic malignancies)
patients with primary cutaneous lymphomas for management advice/staging
patients with all stages and subtypes of primary cutaneous lymphomas for entry into clinical trials
Referral criteria for rare skin cancers
Merkel Cell Carcinoma: patients should be referred as for melanoma
Kaposi sarcoma/angiosarcoma: patients should be referred as for cutaneous lymphoma
Referral criteria for non-melanoma skin cancer
Patients with high risk BCC or SCC and other rarer skin cancers such as Dermatofibrosarcoma Protuberans should be referred to the dermatologic surgery service.