Guidelines for Follow-up Intervals

  • Without exception, all transplant patients should have regularly schedule dermatologic care
  • Follow-up intervals depend on individual risk factors
Patient Risk factors Frequency of Skin Exam GenDerm HRSC
No risk factors except immunosuppression  Initial exam + 
Exam every 12-24 mos		 Checkmark  
Risk factors but no history of malignant/premalignant lesions Initial exam + 
Exam every 6-12 mos		 Checkmark  
Actinic Keratosis or Warts Initial exam + 
Treatment + 
exam every 6 mos		 Checkmark  
One BCC Initial exam + 
Treatment + 
exam every 3-6 mos		 Checkmark  
One SCC Initial exam + 
Treatment + 
exam every 3-6 mos		 Checkmark  
Multiple NMSC Initial exam + 
Treatment + 
exam every 3 mos		   Checkmark
High-risk SCC Initial exam + 
Treatment + 
exam every 2-3 mos		   Checkmark
Metastatic SCC Initial exam + 
Treatment + 
exam every 1-3 mos		   Checkmark

GenDerm = general dermatology clinic
HRSC = High Risk Skin Cancer Clinic
BCC = Basal Cell Carcinoma
SCC = Squamous Cell Carcinoma 
NMSC = Non Melanoma Skin Cancer (SCC or BCC)