Workflow Navigator

Clickable decision trees based on draft operational instructions. Confirm current local policy before clinical use.

DRAFT · REVIEW REQUIREDVersion 0.1

Nonmelanoma skin cancer results

Treatment selection and routing for BCC/SCC pathology results. Melanoma and melanoma in situ are separate pathways.

START

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1 · START

Biopsy confirms BCC or SCC

2 · DECISION

Select management approach based on diagnosis, site, risk and patient factors

Topical treatment → topical · ED&C or surgery → surgery · Intralesional 5-FU → il5fu · Clinical monitoring → monitor

3 · ACTION

Discuss topical 5-FU or imiquimod where appropriate. Document treatment and follow-up.

4 · DECISION

Location and surgical route

Head or neck → head · Below neck (not lower leg) → body · Lower-leg SCC → leg

5 · ACTION

Select appropriate surgical pathway based on tumor and site; confirm local routing.

6 · ACTION

For suitable low-risk lesions, consider ED&C or surgery. Follow-up OVRET15 via local staff pool.

7 · ACTION

Lower-leg SCC: General Surgery pathway per local protocol.

8 · ACTION

Message P DSA DERM Support RN. Pool orders medication, contacts patient, and books RN OVPROC30.

9 · ACTION

Document rationale for clinical monitoring and surveillance plan.

10 · END

Communicate results, document plan, and confirm follow-up