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Appointment sheet: Skin cancer (all types)

One page to bring and write on: your details, the questions for Skin cancer (all types) plus your own, the words you may hear, what to bring, the treatments the standard of care names, and room for the answers and agreed next steps. What you type stays in this browser. Print it or save it as a PDF. New to all this? Start with the first 60 days. Orientation, not medical advice.

Tick the questions to print

All of this cancer's questions start ticked. Untick what does not apply; ticks are kept in this browser. .

Your own questions

Shared with the prep pack, so questions you add there appear here too.

Print or save as PDF

Use (or Ctrl+P, Cmd+P on a Mac). To keep a copy, choose Save as PDF as the destination in the print dialog. Only the sheet prints; the controls stay on screen. Your typed notes print where you typed them; empty fields print as ruled lines to write on.

Appointment sheet

Skin cancer (all types)

Prepared with OnCo (onco.cc/prep/skin-cancer/). Orientation, not medical advice; your team knows your case.

My details

Name
Date of appointment
Hospital and clinician
Who is coming with me

What I know, what is unclear, changes to discuss

Saved in this browser
What I know so far
What is unclear to me
Changes since last time

My questions

14 on the sheet
Newly diagnosed
  1. 1.What is my exact diagnosis, stage, and grade, and which tests established them?
  2. 2.Which biomarkers have been tested on my tumour (for example Dermoscopy and biopsy for diagnosis, Breslow thickness, ulceration and sentinel node status in melanoma, BRAF V600 mutation in melanoma, PD-L1 and tumour mutational burden as imperfect immunotherapy markers, Merkel cell polyomavirus status), and what were the results?
  3. 3.Which subtype is my cancer, and does that change the recommended treatment?
  4. 4.Is germline (inherited) genetic testing recommended for me or my family?
Basal cell and squamous cell carcinoma
  1. 5.For my situation (basal cell and squamous cell carcinoma), which of the standard options do you recommend and why?
  2. 6.Am I a candidate for Cemiplimab, Vismodegib, and what side effects should I expect?
Melanoma
  1. 7.For my situation (melanoma), which of the standard options do you recommend and why?
  2. 8.Am I a candidate for Pembrolizumab, Nivolumab, Dabrafenib, and what side effects should I expect?
Prevention
  1. 9.For my situation (prevention), which of the standard options do you recommend and why?
Any stage
  1. 10.Are there clinical trials I could join, for example of Fianlimab, Lifileucel?
  2. 11.Would a second opinion at a high-volume centre change anything, and can you help arrange it?
  3. 12.What supportive care (symptom control, nutrition, exercise, mental health, financial help) is available from the start?
  4. 13.I read that “Non-melanoma skin cancer is missing from most cancer registries, so its true burden is unknown”. How does that affect my plan?
  5. 14.I read that “Melanoma incidence continues to rise in fair-skinned populations”. How does that affect my plan?

Tests and results to bring

Biomarker results to ask for: Dermoscopy and biopsy for diagnosis, Breslow thickness, ulceration and sentinel node status in melanoma, BRAF V600 mutation in melanoma, PD-L1 and tumour mutational burden as imperfect immunotherapy markers, Merkel cell polyomavirus status.

Scans and tests linked to this cancer: Confocal microscopy and optical coherence tomography for skin (VivaScope, VivoSight, deepLive), Dermoscopy, total-body photography & AI skin analysis.

Bring copies of scan reports, pathology and blood results, and a list of every medicine and supplement.

The treatments I may be offered

  • Prevention: Sun protection, avoiding sunbeds and treating actinic keratoses; regular skin checks for people at high risk, with dermoscopy and AI tools improving lesion triage. (Dermoscopy, total-body photography & AI skin analysis)
  • Basal cell and squamous cell carcinoma: Surgical excision or Mohs surgery; topical or photodynamic therapy for superficial lesions; radiotherapy when surgery is unsuitable; hedgehog inhibitors for advanced basal cell carcinoma and cemiplimab or pembrolizumab for advanced squamous cell carcinoma. See the subtype pages. (Cemiplimab, Vismodegib)
  • Melanoma: Excision with margins by thickness, sentinel node biopsy, adjuvant PD-1 blockade or BRAF/MEK inhibitors for high-risk disease, and checkpoint immunotherapy or targeted therapy for advanced disease. See the melanoma page. (Pembrolizumab, Nivolumab, Dabrafenib)

From the standard of care recorded for this cancer; which apply depends on your stage and biomarkers. Ask which the team recommends and why.

Answers and next steps

Saved in this browser
What I was told
Agreed next steps, dates and who to call