Source-control register

Every guideline, NICE Technology Appraisal, NHS England commissioning policy, BAD specialty guideline, RCPath dataset, staging framework and high-impact trial that the monographs, calculators and cases rely on — in one place, with publication date, what we use it for, and when we last verified it. This page is the editorial provenance record. If a recommendation on the site cannot be traced to a row here, please flag it.

Verified
All entries last verified against the cited sources: 19 May 2026. Targeted live-verification of NICE technology appraisal codes was repeated on 19 May 2026; rows or page references for previously circulating misattributions (including TA868 for pembrolizumab cSCC, TA718 / TA1077 for sonidegib, TA961 for adjuvant pembrolizumab IIB/IIC, TA871 for mogamulizumab, TA396 / TA414 / TA416 / TA417 BRAF-MEK attributions, and TA922 / TA1009 unrelated-code claims) have been corrected, removed or explicitly labelled as not applicable. Subsequent NICE publications, NHS England commissioning policy updates and BAD revisions may post-date this verification — always check the linked authoritative page for current wording. Routine re-verification is scheduled quarterly.

How to use this page

— entries shown
Authority Code Title Source date What we use it for Cited on
NICE clinical guidelines
NICE NG NG14 Melanoma: assessment and management Published 29 Jul 2015; last updated 27 Jul 2022 Diagnostic pathway, BRAF analysis, SLNB indications, excision margins, stage-specific management, and the §1.9.15 follow-up table that drives the melanoma branch of the follow-up scheduler. Melanoma · Follow-up · Staging tool
NICE NG NG12 Suspected cancer: recognition and referral Published 23 Jun 2015; last updated 15 Apr 2026 2-week-wait skin-cancer referral criteria, including the weighted 7-point checklist (score ≥ 3) for suspected melanoma and the cSCC urgent-referral wording. 2WW checker · Topics
NICE NG CSG9 Improving outcomes for people with sarcoma Published 20 Mar 2006; last reviewed 8 Oct 2014 Sarcoma service organisation: prompt expert diagnosis, specialist sarcoma MDT management and specialist surgery. Used when cutaneous sarcoma / DFSP presentations need regional sarcoma MDT input alongside the skin-cancer MDT. DFSP · AFX
NICE NG NG101 Early and locally advanced breast cancer: diagnosis and management Published 18 Jul 2018; last updated 14 Apr 2025 Cross-referenced for cutaneous metastases of breast cancer (carcinoma erysipeloides, en cuirasse) and for cross-recognition of dermatomyositis paraneoplastic associations. Cutaneous metastases
NICE Technology Appraisals — melanoma
NICE TA TA319 Ipilimumab for previously untreated advanced (unresectable or metastatic) melanoma 2014 First-line ipilimumab monotherapy (largely superseded by combination immunotherapy; included for historical context and where combination ICI contraindicated). Melanoma · Ipilimumab
NICE TA TA366 Pembrolizumab for advanced melanoma not previously treated with ipilimumab 2015 First-line pembrolizumab monotherapy in advanced (unresectable or metastatic) melanoma. Melanoma · Pembrolizumab
NICE TA TA384 Nivolumab for treating advanced (unresectable or metastatic) melanoma 2016 Anti-PD-1 monotherapy alternative to pembrolizumab in advanced melanoma. Melanoma · Nivolumab
NICE TA TA396 Trametinib in combination with dabrafenib for treating unresectable or metastatic melanoma 2016 BRAF + MEK inhibitor combination for metastatic BRAF V600-mutant melanoma — the principal active NICE-recommended targeted regimen. Melanoma · Dabrafenib + trametinib
NICE TA Not recommended TA414 Cobimetinib in combination with vemurafenib for treating unresectable or metastatic BRAF V600 mutation-positive melanoma 2016 — not recommended NICE did not recommend cobimetinib + vemurafenib for routine NHS use in advanced BRAF V600 melanoma. Retained here for traceability; the alternative BRAF + MEK pairs (dabrafenib + trametinib, TA396; encorafenib + binimetinib, TA562) are the NHS-funded options. Melanoma
NICE TA TA400 Nivolumab in combination with ipilimumab for treating advanced melanoma 2016 Dual ICI combination — longest median overall survival in multiple phase III trials; first-line option in fit patients. Melanoma · Ipilimumab · Nivolumab
NICE TA TA410 Talimogene laherparepvec (T-VEC) for treating unresectable metastatic melanoma 2016 Intralesional oncolytic herpes-virus therapy for unresectable cutaneous, subcutaneous and nodal melanoma metastases (OPTiM trial evidence). T-VEC · Melanoma
NICE TA TA321 Dabrafenib for treating unresectable or metastatic BRAF V600 mutation-positive melanoma (monotherapy) 2014 BRAF inhibitor monotherapy — superseded by combination BRAF + MEK regimens (TA396); not contemporary standard. Retained for historic / contraindication reference. Melanoma · Dabrafenib + trametinib
NICE TA TA544 Dabrafenib with trametinib for adjuvant treatment of resected BRAF V600 mutation-positive melanoma 2018 Adjuvant BRAF + MEK targeted therapy for completely resected stage III BRAF-mutant melanoma — 12 months. Melanoma · Dabrafenib + trametinib · Follow-up
NICE TA TA562 Encorafenib with binimetinib for unresectable or metastatic BRAF V600 mutation-positive melanoma 2019 Alternative BRAF + MEK pair to dabrafenib/trametinib in advanced disease; slightly different toxicity profile. Encorafenib + binimetinib · Melanoma
NICE TA TA684 Nivolumab for adjuvant treatment of completely resected stage 3 or 4 melanoma 2021 Adjuvant anti-PD-1 alternative to pembrolizumab for resected stage III or IV melanoma — 12 months. Melanoma · Nivolumab · Follow-up · Acral case
NICE TA TA766 Pembrolizumab for adjuvant treatment of completely resected stage 3 melanoma February 2022 Adjuvant anti-PD-1 for resected stage III melanoma (microscopic / SLNB-detected and macroscopic, in the absence of URN 2426 neoadjuvant pathway eligibility). Melanoma · Pembrolizumab · Follow-up · Acral case
NICE TA TA837 Pembrolizumab for adjuvant treatment of resected stage 2B or 2C melanoma October 2022 Adjuvant anti-PD-1 for completely resected stage IIB / IIC melanoma — 12 months. Melanoma · Pembrolizumab · Follow-up
NICE TA TA950 Nivolumab with relatlimab for untreated advanced melanoma 2024 Anti-PD-1 + anti-LAG-3 fixed-dose combination for first-line advanced melanoma — emerging option with single-agent ICI toxicity profile. Melanoma · Nivolumab
NICE TA TA1027 Tebentafusp for treating advanced uveal melanoma Published 9 Jan 2025 Bispecific HLA-A*02:01-restricted gp100 / CD3 T-cell engager for HLA-A*02:01-positive untreated metastatic uveal melanoma — first agent to extend overall survival in this setting. Uveal melanoma · Melanoma
NICE Technology Appraisals — cutaneous squamous cell carcinoma
NICE TA TA802 Cemiplimab for treating advanced cutaneous squamous cell carcinoma Published 29 June 2022 (replaced TA592, 2019) First-line anti-PD-1 monotherapy for advanced cSCC not suitable for curative surgery or radiotherapy. The only NICE-approved systemic option for advanced cSCC. Cemiplimab · cSCC · Lip ulcer case
NICE in development GID-TA11582 / ID6473 Pembrolizumab with platinum-based chemotherapy for adjuvant treatment of locally advanced cutaneous squamous cell carcinoma NICE evaluation in development — no final TA at the date of last verification Signposted so clinicians know the future direction. Not yet commissioned. The current NICE-approved systemic option for advanced cSCC remains cemiplimab (TA802). Pembrolizumab · cSCC
NICE Technology Appraisals — basal cell carcinoma
NICE TA Not recommended TA489 Vismodegib for treating basal cell carcinoma 2017 — not recommended NICE did not recommend vismodegib for routine NHS use in locally advanced or metastatic BCC. Retained here for traceability. It is not a routine NHS-commissioned option; any use needs specialist MDT and current NHS England / local funding or IFR confirmation. Vismodegib · BCC · Gorlin syndrome
NICE Technology Appraisals — Merkel cell carcinoma
NICE TA TA691 Avelumab for untreated metastatic Merkel cell carcinoma 2021 Anti-PD-L1 first-line therapy for untreated metastatic MCC; durable responses reported. TA517 records the earlier metastatic-MCC appraisal history. Avelumab · Merkel cell carcinoma
NICE Technology Appraisals — cutaneous lymphoma and adjacent haematology
NICE TA TA577 Brentuximab vedotin for treating CD30-positive cutaneous T-cell lymphoma 2019 Anti-CD30 antibody-drug conjugate for relapsed / refractory CD30+ CTCL. Brentuximab vedotin · Cutaneous lymphoma
NICE TA TA720 Chlormethine gel for treating mycosis fungoides-type cutaneous T-cell lymphoma 2021 Topical chlormethine (mechlorethamine) gel for adults with stage IA–IIA mycosis fungoides. Cutaneous lymphoma
NICE TA TA754 Mogamulizumab for treating mycosis fungoides and Sézary syndrome 2021 Anti-CCR4 monoclonal antibody for relapsed / refractory mycosis fungoides and Sézary syndrome. Cutaneous lymphoma
NICE TA Terminated TA782 Tagraxofusp for treating untreated blastic plasmacytoid dendritic cell neoplasm Terminated appraisal (2023) NICE appraisal of tagraxofusp (Elzonris) for first-line BPDCN was terminated — i.e. no positive NICE recommendation. Any UK use should be confirmed through specialist haematology MDT and current local / specialist funding, IFR, clinical-trial or compassionate-use routes. Cited for transparency; do not interpret as NICE-approved. BPDCN
NICE Technology Appraisals — adjacent oncology used as context on skin pages
NICE TA TA661 Pembrolizumab for untreated metastatic or unresectable recurrent head and neck squamous cell carcinoma 2020 Adjacent (non-skin) NICE indication for pembrolizumab in mucosal HNSCC — referenced as context on the pembrolizumab monograph for clinicians who manage both cutaneous and mucosal head-and-neck disease. Pembrolizumab
NICE TA TA1145 Pembrolizumab for neoadjuvant and adjuvant treatment of resectable locally advanced head and neck squamous cell carcinoma Published 21 April 2026 Adjacent (non-skin) NICE indication for pembrolizumab in mucosal HNSCC with PD-L1 CPS ≥ 1. Pembrolizumab
NICE TA TA392 Adalimumab for treating moderate to severe hidradenitis suppurativa 2016 Biologic for long-term HS control — relevant where chronic HS is the substrate for HS-associated cSCC (Marjolin-type transformation). HS-associated cSCC
NICE TA TA539 Lutetium-177 (¹⁷⁷Lu) DOTATATE for advanced gastroenteropancreatic neuroendocrine tumours 2018 Peptide-receptor radionuclide therapy — cited on the paraneoplastic dermatosis context for necrolytic migratory erythema (glucagonoma). Necrolytic migratory erythema
NICE TA TA630 Larotrectinib for treating NTRK fusion-positive solid tumours 2020 Selective TRK inhibitor for NTRK-fusion sarcomas including cutaneous / soft-tissue NTRK-fusion spindle-cell neoplasm. NICE TA630 is a Cancer Drugs Fund / managed-access recommendation, so current NICE / NHS England status should be checked before treatment. NTRK-fusion sarcoma
NICE TA TA873 Cannabidiol with clobazam for treating seizures associated with tuberous sclerosis complex 2023 Anticonvulsant in TSC-associated drug-resistant epilepsy. TSC is the principal cancer-predisposition syndrome cross-referenced on the site (cutaneous angiofibromas, hypomelanotic macules, shagreen patch, periungual fibromas, renal AML, SEGA). Tuberous sclerosis
NICE TA TA644 Entrectinib for treating NTRK fusion-positive solid tumours 2020 Historical CDF guidance only. TA644 has been replaced by TA1118, which terminated the appraisal without a positive NHS recommendation for NTRK fusion-positive solid tumours. NTRK-fusion sarcoma
NICE TA TA1118 Entrectinib for treating NTRK fusion-positive solid tumours in people 12 years and over (terminated appraisal) 2026 Current NICE position replacing TA644: no recommendation for NHS use because the appraisal was terminated. Existing patients may continue until they and their NHS clinician decide when best to stop. NTRK-fusion sarcoma
NICE Highly Specialised Technologies (HST)
NICE HST HST20 Selumetinib for treating symptomatic and inoperable plexiform neurofibromas associated with type 1 neurofibromatosis in children aged 3 and over 2022 MEK inhibitor for symptomatic inoperable plexiform NF in paediatric NF1 — the only HST-route appraisal cited on the site. Neurofibromatosis 1
NICE Interventional Procedure Guidance (IPG)
NICE IPG IPG155 Photodynamic therapy for non-melanoma skin tumours (including premalignant and primary non-metastatic skin lesions) 2006 Procedural guidance for PDT in actinic keratosis, Bowen's disease and superficial BCC. PDT · Actinic keratosis · Bowen's disease
NICE IPG IPG446 Electrochemotherapy for metastases in the skin from tumours of non-skin origin and melanoma 2013 Procedural guidance for electrochemotherapy of skin metastases from non-skin primary tumours and melanoma. It should not be cited as NICE endorsement for primary BCC. Cutaneous metastases · Melanoma (in-transit)
NHS England commissioning policies
NHS England URN 2426 Neo-adjuvant followed by adjuvant pembrolizumab for stage III macroscopic resectable melanoma (> 12 years) Published 28 Apr 2026 Off-label pembrolizumab regimen: 3 neoadjuvant doses (3-weekly) before complete resection + therapeutic lymph node dissection, then adjuvant pembrolizumab to complete 54 weeks total (adults: 15 further 3-weekly treatments or 7 further 6-weekly treatments). Eligibility: macroscopic resectable stage IIIB / IIIC / IIID, age ≥ 12, ECOG 0–1; microscopic SLNB-detected disease excluded. Evidence base: SWOG S1801 (Patel NEJM 2023). Pembrolizumab · Melanoma · Acral case · Follow-up · Guidelines hub
British Association of Dermatologists (BAD) specialty guidelines
BAD BAD cSCC 2020 British Association of Dermatologists guidelines for the management of people with cutaneous squamous cell carcinoma 2020 2020 Primary source for cSCC margins (4 mm low-risk; 6–10 mm or Mohs for high-risk), BWH risk-factor wording (incl. the three high-risk PNI criteria), nodal imaging thresholds, and adjuvant-RT indications. cSCC · cSCC staging tool · Margin planner · Follow-up
BAD BAD BCC 2021 BAD guidelines for the management of basal cell carcinoma 2021 2021 BCC risk-stratification, Mohs indications, follow-up cadence and incompletely-excised high-risk BCC management. BCC · Margin planner · Follow-up
Royal College of Pathologists (RCPath) cancer datasets
RCPath G125 Dataset for histopathological reporting of primary cutaneous malignant melanoma February 2019; hub notes currently on hold; TNM 9 appendix November 2025 Minimum data items for UK melanoma pathology reports: Breslow, ulceration, mitotic rate, LVI, microsatellites, margin clearance, tumour subtype. NICE NG14 treatment pathways remain based on AJCC 8 / UICC TNM 8 staging. Melanoma · Staging tool
RCPath G124 Dataset for histopathological reporting of primary cutaneous squamous cell carcinoma February 2019 Minimum data items for cSCC reports: differentiation grade, depth, PNI features (calibre, depth, named nerve), LVI, margin clearance, subtype. cSCC · cSCC staging tool
RCPath G123 Dataset for histopathological reporting of primary cutaneous basal cell carcinoma February 2019 Minimum data items for BCC reports: subtype (nodular / superficial / infiltrative / morphoeic / micronodular / basosquamous), margin clearance, PNI. BCC
RCPath G126 Dataset for histopathological reporting of Merkel cell carcinoma February 2019 CK20 dot-pattern, MCPyV status, tumour thickness, LVI, depth and margin reporting standards. Merkel cell
RCPath RCPath STS Dataset for histopathological reporting of soft-tissue sarcomas (DFSP, AFX, PDS, leiomyosarcoma, angiosarcoma) Current edition Cutaneous and soft-tissue sarcoma reporting standards covering DFSP (incl. fibrosarcomatous transformation), atypical fibroxanthoma vs pleomorphic dermal sarcoma, and cutaneous angiosarcoma. DFSP · AFX
Staging frameworks
Staging AJCC 8 (melanoma) American Joint Committee on Cancer melanoma staging system, 8th edition — Gershenwald JE et al. CA Cancer J Clin 2017;67:472–92 Definitive T / N / M categories and stage groupings (0 → IV) used by the melanoma staging calculator. NG14 explicitly adopts AJCC 8 / UICC TNM 8. Melanoma staging tool · Melanoma · all case studies
Staging AJCC 8 (cSCC) American Joint Committee on Cancer head & neck cSCC staging, 8th edition 2017 Site-specific (head & neck) cSCC T-staging. Surfaced alongside BWH on the cSCC staging tool; NG14 / BAD prefer BWH for prognostic discrimination in most cohorts. cSCC staging tool · cSCC
Staging UICC TNM 8 Union for International Cancer Control TNM classification of malignant tumours, 8th edition 2017 UK NHS-adopted TNM framework (NG14 §"Stages of melanoma" cites UICC TNM 8 alongside AJCC 8). Melanoma staging tool · cSCC staging tool
Staging BWH (cSCC) Brigham & Women's Hospital cSCC T-stage — Jambusaria-Pahlajani A et al. JAMA Dermatol 2013;149:402–10 Four-factor BWH T-stage (diameter ≥ 2 cm, poor differentiation, high-risk PNI, invasion beyond fat; bone → T3). BAD 2020 endorses BWH for prognostic discrimination over AJCC 8 in most cohorts. cSCC staging tool · cSCC · Lip ulcer case
WHO Classifications of Tumours
WHO WHO Skin (5e) Skin Tumours, WHO Classification of Tumours, 5th edition, volume 12 2025 Authoritative taxonomy for cutaneous tumours — used throughout the monographs for nomenclature, subtype boundaries (e.g. AFX vs PDS, micronodular vs morphoeic BCC) and biomarker definitions. Topics · all monographs
WHO WHO Haem (5e) WHO Classification of Haematolymphoid Tumours, 5th edition 2022 Current taxonomy for primary cutaneous lymphomas (mycosis fungoides, Sézary syndrome, primary cutaneous CD30+ LPDs, ATLL, NK/T-cell lymphomas) and BPDCN. Cutaneous lymphoma · BPDCN · ATLL
WHO WHO STB (5e) WHO Classification of Soft Tissue and Bone Tumours, 5th edition 2020 Soft-tissue taxonomy underpinning DFSP, atypical fibroxanthoma, pleomorphic dermal sarcoma, leiomyosarcoma, angiosarcoma and the NTRK-fusion spindle-cell neoplasm. DFSP · AFX · NTRK-fusion sarcoma
WHO WHO / modern LCH taxonomy Langerhans cell histiocytosis as a clonal histiocytic / dendritic-cell neoplasm 2016 Frames LCH as a clonal MAPK-driven histiocytic / dendritic-cell neoplasm rather than a reactive disorder; supports the targeted-therapy framing on the LCH monograph. Langerhans cell histiocytosis
Pivotal trials supporting practice-changing claims
Trial KEYNOTE-054 Eggermont AMM et al. Adjuvant pembrolizumab versus placebo in resected stage III melanoma N Engl J Med 2018 Pivotal trial underpinning TA766 (adjuvant pembrolizumab, resected stage III). Pembrolizumab · Melanoma
Trial KEYNOTE-716 Luke JJ et al. Pembrolizumab versus placebo in adjuvant stage IIB / IIC melanoma Lancet 2022 Pivotal trial underpinning TA837 (adjuvant pembrolizumab, resected stage IIB / IIC). Pembrolizumab · Melanoma
Trial SWOG S1801 Patel SP et al. Neoadjuvant-adjuvant or adjuvant-only pembrolizumab in advanced melanoma N Engl J Med 2023;388(9):813–823 Phase II, open-label, 313-patient RCT showing 2-year event-free survival 72% (neoadj-adj) vs 49% (adj-only); difference 23%, p = 0.0045. Evidence base for NHS England URN 2426. Pembrolizumab (URN 2426 section)
Trial MSLT-II Faries MB et al. Completion dissection or observation for sentinel-node metastasis in melanoma N Engl J Med 2017 Practice-changing trial — no survival benefit for completion lymphadenectomy after SLN-positive disease; ultrasound surveillance + adjuvant systemic therapy is the modern standard. Underpins NG14 §1.6.1. Melanoma · Acral case
Trial OPTiM Andtbacka RHI et al. Talimogene laherparepvec improves durable response rate in patients with advanced melanoma J Clin Oncol 2015 Pivotal phase III trial supporting NICE TA410 for T-VEC in unresectable cutaneous and nodal metastases. T-VEC
Trial SPRINT Gross AM et al. Selumetinib in children with inoperable plexiform neurofibromas N Engl J Med 2020 Pivotal phase II trial supporting NICE HST20 (selumetinib for paediatric NF1 plexiform NF). NF1
Trial IMCgp100-202 Nathan P et al. Overall survival benefit with tebentafusp in metastatic uveal melanoma N Engl J Med 2021 First systemic therapy to extend overall survival in metastatic uveal melanoma; evidence base for TA1027. Uveal melanoma

Editorial governance for this register

Source basis

  1. This page was launch-reviewed on 19 May 2026. See the source-control register for the NICE, NHS England, BAD, RCPath, WHO, AJCC / TNM and pivotal-trial sources used across the site; check live guidance and local MDT policy before applying recommendations.

Spot a correction?

If any clinical statement, citation or link on this page needs updating, please email admin@skinoncology.net with the page name, the proposed correction and the supporting source.