TAILIEUCHUNG - Guidance on Cancer Services - Improving Outcomes in Children and Young People with Cancer

Squamous cell carcinoma in situ, also called Bowen disease, is the earliest form of squamous cell skin cancer. “In situ” means that the cells of these cancers are still only in the epidermis and have not invaded the dermis. Bowen disease appears as reddish patches. Compared with actinic keratoses, Bowen disease patches tend to be larger (sometimes over 1/2 inch across), redder, scalier, and sometimes crusted. Like invasive squamous cell skin cancers, the major risk factor is too much sun exposure. Bowen disease can also occur in the skin of the anal and genital areas. This is often related to. | NHS National Institute for Health and Clinical Excellence Guidance on Cancer Services Improving Outcomes in Children and Young People with Cancer The Manual August 2005 Developed by the National Collaborating Centre for Cancer Improving Outcomes in Children and Young People with Cancer Cancer service guidance supports the implementation of The NHS Cancer Plan for England 1 and the NHS Plan for Wales Improving Health in The service guidance programme was initiated in 1995 to follow on from the Calman-Hine Report A Policy Framework for Commissioning Cancer The focus of the cancer service guidance is to guide the commissioning of services and is therefore different from clinical practice guidelines. Health services in England and Wales have organisational arrangements in place for securing improvements in cancer services and those responsible for their operation should take this guidance into account when planning commissioning and organising services for cancer patients. The recommendations in the guidance concentrate on aspects of services that are likely to have significant impact on health outcomes. Both the objectives and resource implications of implementing the recommendations are considered. This guidance can be used to identify gaps in local provision and to check the appropriateness of existing services. References 1. Department of Health 2001 The NHS Cancer Plan. Available from 2. National Assembly for Wales 2001 Improving Health in Wales A Plan for the NHS and its Partners. Available from healthplanonline health plan content 3. A Policy Framework for Commissioning Cancer Services A Report by the Expert Advisory Group on Cancer to the Chief Medical Officers of England and Wales 1995 . Available from National Institute for Health and Clinical Excellence MidCity Place 71 High Holborn London WC1V 6NA Web ISBN 1-84629-067-8 Copies of this document can be obtained from

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