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Information about cancer
Information about different types of cancer
Referral Guidelines
Information on cancer treatments
Provides information for people living with cancer
About the Information Centre at the Manchester Royal Infirmary
Our contact details
Useful links to other cancer related web sites
Questions and Answers
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Dictionary of words used in this site
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Department of Dermatology

Manchester Royal Infirmary

Oxford Road

Manchester

M13 9WL

Telephone 0161 276 6050
Fax 0161 276 8881


What do we do?
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The team treats the full range of cancers including basal cell carcinoma, squamous cell carcinoma and malignant melanoma.
More information about skin cancers can be found by clicking here

Who are we?
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Key members of the team

Dr JT Lear

Consultant Dermatologist

0161 276 4173 / 6050

Dr C Wong Consultant Dermatologist  

Dr RG Chalmers

Consultant Dermatologist

0161 276 4173 / 6050

Lisa Galligan Sister 0161 276 4173 / 6050/(direct 276 3220)
Tanya Flavell Specialist Nurse 0161 276 4174
Natalie Neild Nurse Practitioner 0161 276 4174
The dermatology service has links with the Palliative Care Service

For more information about the palliative care team please click here

What if I think I might have skin cancer?/ What to look out for
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If you are worried that you might have a skin cancer, you should go and see your family doctor (GP) as soon as possible. Your GP will then decide whether you should be sent to see a doctor who specialises in skin cancers.

The Referral Guidelines for Suspected Cancer is a guide for doctors who think their patient may have cancer, to ensure that the patient is seen quickly. Information about the guidelines can be seen by clicking here

This gives you information about the guidelines as well as information about skin cancers. This includes things to look out for, and tests that may be carried out if your doctor thinks you might have a skin cancer.

If your GP thinks you may have squamous cell cancer or malignant melanoma you will be referred to the hospital to be seen urgently. This will usually mean that you are seen within 2 weeks.

If your GP thinks you may have basal cell cancer you will be referred to the hospital, and you will usually be seen within 6 to 8 weeks. This is because basal cell cancers grow slowly and rarely spread.

There are two important types of skin cancer, non-melanoma and melanoma.

Non-melanoma
Any non-healing, weeping, scabbing or crusted sore on the skin may be skin cancer and should be shown to your doctor. The most common sites are the temples, the forehead, around the eyes down the sides of the nose and on the chin.

If you have a sore which does not heal after a couple of weeks or which keeps breaking down you should visit your doctor. If he/she thinks you may have skin cancer you will be sent to see a specialist. There are several very effective, simple treatments for these and if the diagnosis is confirmed the specialist will be able to advise you which is most suitable for you.

Melanoma
Nearly everyone has moles on their skin which are perfectly safe. The smooth lumpy ones on the face or brown, warty ones on the trunk very rarely become cancerous. The flat brown or black ones on the trunk and limbs are the ones to look out for, especially if they have newly appeared or suddenly started to grow, altered in shape or colour, itch, scab or bleed.

In most cases these changes will not be due to skin cancer, but you must visit your doctor urgently. He or she will tell you if anything needs to be done and if there is any uncertainty will refer you to a specialist.


Referral criteria and contact procedures back to top of page
All urgent referrals should be faxed to the Department by the patient's GP on 0161 276 5967 by letter or, using the urgent referral form , fax to the booking centre on 0161 443 0632



Clinic Days and Times
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Clinics are held in the main Out-patients department at Manchester Royal Infirmary.Clinics are accessible by appointment only following GP referral.

Monday am/pm
Tuesday am
Wednesday am/pm
Friday pm
 



Treatment back to top of page
The treatment for cancer is decided on an individual basis, so the treatment may not be the same for everyone.

The treatment given will depend on:

  • The type of cancer and where it is
  • If it has spread
  • The general health of the person with cancer
  • The wishes of the person with cancer

The doctor will discuss treatment options with the person with cancer and help them decide which is the best one for them. The opportunity to take part in a clinical trial, where a new treatment is tested, may also be offered.

Surgery is the most common treatment for skin cancer. Some growths can simply be removed in the Out-patients department, using a local anaesthetic. For many people with skin cancer this is all that is needed.

A margin of skin will usually also be removed around the affected area to make sure no cancerous cells are left. If a lot of skin is removed, the surgeon may need to do a skin graft, where skin from another part of the body is used to cover the area.
Sometimes basal cell cancer will be treated with radiotherapy instead of surgery. Radiotherapy may also be used on its own if an operation cannot be carried out for any reason, or to treat skin cancer after initial surgery. Locally radiotherapy treatment is carried out at the Christie hospital.
Depending on the type of cancer, tests may also be carried out to see if it has spread to the lymph nodes near the cancer which may mean that more surgery is needed. Chemotherapy is used less often to treat skin cancer.

A lot of people with cancer worry that if they go to the Christie Hospital for treatment it means their cancer must be worse. This is not true. Many of the teams at Central Manchester work closely with the doctors at the Christie Hospital. This means that some people go to the Christie Hospital for treatment not because their cancer is worse but because that is where the doctors are based. All patients needing radiotherapy go to the Christie Hospital. This is because that is where the radiotherapy machines are.

For information on treatment for skin cancer click here.


Useful links back to top of page

Information about skin cancer

Cancerhelp information about malignant melanoma

Cancerbackup information about malignant melanoma

Information about non-melanoma skin cancer

Information about melanoma of the eye

Cancer Research UK Sunsmart website

Wessex Cancer Trust's SCIN (Skin Cancer Information Network)
MARC'S Line Resource Centre
Dermatology Treatment Centre
Salisbury District Hospital
Salisbury SP2 8BJ
Tel: Salisbury (01722) 415071
A skin cancer information service for patients, families, health professionals and the general public.


Support contacts  Back to top of page
The authors of this site do not endorse any particular groups, and anyone looking for a support group is advised to find out more about the group, including who runs it, what it offers and what its aims are.

Cancerbackup
3 Bath Place
Rivington Street
London
EC2A 3JR
www.cancerbackup.org.uk
Freephone helpline 0808 800 1234
Support and information for people affected by cancer, including over 50 booklets and 134 factsheets on cancer, treatment and living with cancer
Helpline staffed by nurse specialists


Macmillan Cancer Support
89 Albert Embankment
London
SE1 7EQ
Macmillan CancerLine freephone helpline 0808 808 2020
Textphone: 0808 808 0121
www.macmillan.org.uk
Support and information for people affected by cancer, including information on cancer support and care charities in the UK, and leaflets/booklets about different cancers and living with cancer. Also information about Macmillan services, from nursing to grants.
Link to Language Line to help callers in up to 150 languages.


NHS Direct
Telephone service: 0845 46 47
Textphone 0845 606 46 47
NHS Direct Online www.nhsdirect.nhs.uk

24 hour confidential nurse advice and health information telephone service with access to interpreters
Online information

Cancer Aid and Listening Line
Tel: 0845 123 23 29
Confidential helpline for people affected by cancer, run by trained volunteers with personal experience of cancer.
www.canceraid.co.uk

If you would like more information or have any questions about any aspect of cancer please e-mail your question by clicking here

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