During the initial doctor's appointment, a medical history will be obtained with particular attention given to previous skin lesions, genetic skin disorders and exposure to chemical carcinogens or radiation. The history of the lesion in question should also be clarified—how long it has been present and how it has changed.
Imaging
• X-rays, like blood tests, are not usually necessary during the initial doctor visit. They may be necessary to
look for signs of bone destruction, however, if there is evidence that the skin lesion is fixed to or invading the
bone.
• Chest x-rays should be considered with advanced cancers to look for lung metastasis .
Endoscopy and Biopsy
• A biopsy should be performed on all suspicious lesions and the specimen sent to a qualified pathologist . The
biopsy result will help the physician choose the appropriate treatment.
Four biopsy techniques are employed for skin cancer, with the type used depending on the size and location
of the lesion, the equipment available and the experience of the physician.
• Shave biopsy uses a scalpel to remove a thin slice of an area in question. This procedure is used when the
lesion extends above the skin and the underlying skin is smooth, open and convex.
