Minor skin lesions include pigmented moles, comedones, corn/callous, lipoma, milia, molluscum contagiosum, sebaceous cysts (epidermoid or pilar cysts), seborrhoeic keratoses (basal cell papillomata), skin tags including anal tags, spider naevus (telangiectasia), warts, xanthelasma and neurofibromata.
A patient with a skin or subcutaneous lesion that has features suspicious of malignancy must be referred to an appropriate specialist for urgent assessment.
Minor skin lesions will be treated through surgery if they are obstructing an orifice, or vision, limiting movement, causing disfigurement on the face, if there is recurrent bleeding, infection, inflammation, marked itching or severe pain which fails to respond to pharmacological treatment or if the lesion is located in an anatomic area subject to recurrent trauma. If there is any suspicion of malignancy, patients should be referred immediately to an appropriate service as described in NICE guidelines. The policy has been updated to clarify indications for surgery.