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http://news.bbc.co.uk/1/hi/health/7504921.stm

Concern over GP skin cancer ops (Melanoma can be fatal)

- Potentially dangerous
- skin cancers are being treated by family doctors,
- the most lethal form of skin cancer - were being cut out at English surgeries.
- The research found GPs often removed too little tissue, allowing cancer to return or delaying necessary treatment.
- Extra training was needed, said the British Association of Dermatologists.

- The cancer could recur if not fully removed.
- The majority of skin cancers are not dangerous if caught at a relatively early stage,
- many can be removed safely at the GP surgery.
- However, it is crucial that enough healthy tissue is "excised" around the edges of the cancer to stop the cancer growing back.

- the National Institute for Clinical Excellence issued guidance in England and Wales which said that appropriately trained GPs could remove most 'basal cell carcinomas'

- the most common and least threatening skin cancers.
- it said that they needed to work as a team with hospital-

- The studies presented at

- Liverpool suggests that the NICE guidance is not being followed,

- GPs are not as good as hospital specialists at cutting cancers out.

- surgery revealed that nearly a third of skin cancers operated on by GPs had not been completely removed.

- a London teaching hospital showed that 14% of the tumours involved were "high risk", and should have been referred straight to a hospital specialist.

- analysis of the records of 80 patients with melanoma found that 13% of them had been incompletely excised or biopsied in primary care.

- Similar problems were found with squamous cell carcinoma patients,

- many of whom ended up waiting far longer for the cancer to be fully removed compared with those referred immediately to hospital.

- called for extra training for GPs: "

- chairman of the Royal College of GPs, said: "This study highlights the need for GPs to follow NICE guidelines, particularly those regarding melanoma.

"The majority of GPs in this country are following these guidelines, and this should serve as a wake-up call for the rest."