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Breast Skin Changes

The Scottish Cancer Referral Guidelines have been updated and went live on Wednesday, 6th August 2025. We are working hard to update all relevant information on the RefHelp website. If you would like to see the guidelines please click here Scottish Referral Guidelines for Suspected Cancer 2025 – gov.scot

Breast Cancer accounts for 30% of cancers in woman and around 4,500 people are diagnosed with Breast Cancer in Scotland each year; approximately 25 of these are men.

USOC Referral should be made for:

  • Skin tethering
  • Fixation
  • Ulceration
  • Peau d’orange

(Details of other indications for Breast USOC referral can be found under pages for Nipple symptoms, Breast Lumps and Breast Abscess).

J.B & M.B, L.P 08-11-23

                                                                                                                                                                                       

Who to refer:

Urgent Suspicion of Cancer Referral

  • Skin tethering
  • Fixation
  • Ulceration
  • Peau d’orange

Who not to refer:

  • Obvious simple skin lesions such as sebaceous cysts

How to refer:

Edinburgh, Midlothian and East Lothian Patients

  • Please refer via SCI Gateway to WGH

Western General Hospital >> General Surgery – Breast >> LI Breast – Urgent

West Lothian Patients

  • Please refer via SCI Gateway to SJH

St John’s Hospital >> General Surgery – Breast >> LI Breast – Urgent