Skin cancer-BCC, have to wait 7 weeks for biopsy to confirm

Today I was diagnosed with bcc skin cancer but I don't have my biopsy booked for 7 weeks time to confirm it. Do you think I should call up and try and get a sooner appointment? It's grown quite a lot in the last 3 months, I'm dreading how big its going to get! Dermatologist suggested MOH's surgery as it's on my Tragus so will be abit awkward to remove. 

  • Please either call them to see if they can get you in sooner or contact gp asking if they can write and try and expedite app 

  • Hi,

    I know how worrying the wait is, especially if the BCC is growing fast. If it's in a visible or awkward place (eg. catching on clothing) then I would certainly ring the hospital and tell them you are happy to take a last minute cancellation if one comes up (assuming you would be available to do that). Otherwise, I'm afraid a 7 week wait is how long it's taking at the moment for non melanoma skin cancer biopsies. Pre-Covid they were averaging 4 weeks (melanoma biopsies were 2 weeks and are now 4 weeks) - unfortunately for you the melanoma biopsies always go to the top of the list as they can spread & are potentially fatal whilst basal cell isn't. Also, there are over 150,000 cases of non melanoma skin cancer diagnosed every year in the UK and 16,000 melanoma cases so it puts a lot of pressure on the dermatology departments, more so in these difficult times for the NHS. I know that doesn't help you with your worry but sadly it's always been the case (my sister-in-law, just before Covid, had a bcc diagnosed - it was 5 weeks before it was removed and another 8 weeks before she received the results).

    I hope you manage to get your appointment brought forward and you are recovering quickly. Please let us know how you get on,

    Angie (melanoma patient)

  • Thank you, I may call them and say I can come last minute. It's only for a scoop biopsy which will take minutes. The dermatologist asked them to do it on the day but they said Melanoma cases only. This is why I was suprised when the next appointment wasn't until the middle of May. Do you know how long the wait is for MOH's surgery? I guess I will then be waiting for another few months to get it removed. It's already grown 15mm in 3 months and is affecting the nerves in my ear and makes my ear numb. I'm just worried it's more serious but don't want to be too pushy and totally understand that melanoma is much more of a priority x 

  • I'm afraid I can't give you an idea as to the waiting time for MOHS surgery, especially as every hospital is different at the moment.

    If the continued growth is causing you problems with your ear, I would contact your GP & explain the problem. The GP may have some sway in getting the hospital to move you up the list before the problem gets worse. Hopefully you won't be waiting too long. x

  • You are very lucky!! I noticed a red mark October last year. Had a biopsy this June and unfortunately have to have surgery. I was treated for eczema. I am distraught. From a biopsy you then have to wait to see a consultant. Then for treatment. I saw consultant on Wednesday and got a call to see the plastic surgeon this week. Because of how it has gone. Be seen asap. Goid luck. 

  • Hi EWmum

    I had a biopsy on crease of nostril on 2 March 2022.

    Invasive bcc.

    Last year a bcc nodule removed, no clear margins. That was done by excision. Not mohs. So they're monitoring that one. 

    What is hard is your face or body is cut, time and time again. Stitches have to heal, trying to make sure no infection sets in. BCC's can grow deep, even if your bcc on the outside looks small, it can be much bigger underneath. I have so many scars now, and more skin cancer to deal with. My chest is a mass of scars from freezing treatments and chemo cream, my face Is catching up. Hard on the mental health. 

    You wait so long for treatment because a bcc ( tho a bcc has many subtypes,some invasively harsh) is not considered as much of a risk than more fast growing cancers. So in a way it is reassuring that a bcc is for the most part treatable with a high cure rate if treated early. No such thing as a good cancer either.

  • Hi, 

    Just to update the post! The biopsy came back as not cancerous and they asked me to go back a few months later suspecting that I had caused it from me picking it.

    In the follow up appointment the dermatologist was talking as if it was gone and was shocked when I showed him that it was still growing. 

    It turned out be a rare benign tumour called myofibroma which is rare in adults. I had the tragus of my ear removed completely and now all healed