Follow-up and long term surveillance
Follow-up and long term skin surveillance are important for anyone who has had skin cancer or is at higher risk of developing new lesions. Regular review helps detect recurrences or new cancers at an early and more treatable stage.
Who needs long term surveillance
Ongoing skin surveillance may be recommended if you have:
- Previous melanoma
- Multiple basal cell carcinomas or squamous cell carcinomas
- Extensive actinic keratoses or sun damage
- Many atypical moles or a strong family history of melanoma
- A history of immunosuppression or other significant risk factors
What follow-up usually involves
Follow-up appointments are tailored to your individual risk. They often include:
- Review of your medical and skin cancer history
- Examination of previous surgery sites and scars
- A targeted or full skin check to look for new lesions
- Dermatoscopic examination of selected moles or lesions
- Examination of lymph nodes
The frequency of visits depends on your diagnosis and risk profile. For example, early melanoma may require more frequent review in the first few years, followed by less frequent checks thereafter.
Self examination between visits
Long term surveillance combines professional reviews with regular self checks. You will be shown how to examine your skin for:
- New or changing moles
- Persistent scaly or non healing lesions
- New lumps or nodules in scars or nearby skin
- Any lumps in your neck, armpits and groin
Noticing changes early and arranging assessment promptly improves the chances of simple, effective treatment.
Risk reduction and lifestyle advice
Follow-up appointments are also an opportunity to reinforce sun protection advice and skin cancer prevention strategies. This may include guidance on sunscreen use, clothing, shade and avoiding sunbed exposure.
If you have had a previous skin cancer or high risk lesions and would like to arrange follow-up and long term surveillance, please contact us via the contact page.