Clinical tools
Free UK-guideline-aligned calculators for everyday skin cancer practice. Each output cites the underlying guideline. Pure browser-side — no data leaves your device. Educational use, not a medical device.
Tools support guideline lookup and documentation. They do not replace MDT decision-making, histopathology review or clinician judgement. Local Cancer Alliance and trust pathways take precedence; urgent clinical concern overrides tool output.
Staging
Melanoma — AJCC 8
TNM stage group, T-category, N/M summary with stage-specific management prompts.
Familial melanoma — R254 referral
NHS Genomic Test Directory R254 testing-criteria checker — when to refer to clinical genetics.
cSCC — Brigham & Women's
BWH T-stage with nodal and mortality risk estimates; imaging and MDT prompts.
Planning & workflow
Reconstruction selector
Defect site → flap and graft options across nasal subunits, lip, eyelid, ear, scalp, hand.
Follow-up scheduler
Stage-driven surveillance intervals for melanoma, cSCC and BCC per UK guidelines.
Site search
Search the entire knowledge base — monographs, tools, reconstruction, guidelines.
Dermafocal
Clinical decision support for UK dermatology and plastic surgery practice, developed independently by the author of skinoncology.net.
Dermafocal brings staging and risk tools, structured diagnostic and management support, local-first clinical photography, lesion localisation and patient information together on iPhone and iPad.
Dermafocal works entirely offline, keeping clinical information on the device for a completely secure, cloud-free workflow.
Key features
- Pathology Library
- Diagnostic Aid
- Management Aid
- Staging Tools
- Derma Capture Photography with Virtual Dermatoscope
- Body Mark for accurate lesion localisation
- Local Anaesthetic Aid
- Excision Margin Aid
- Sentinel Node Biopsy Aid
- Consent Guides
- Patient Information Leaflets
- Procedure Leaflets
Commercial disclosure: Dermafocal is a separate subscription product in which the Editor-in-Chief has a financial interest. Subscription income may benefit the author. Its placement here does not influence skinoncology.net's clinical content, editorial review or free tools. Full declaration.
Restricted (St George's)
Password-protected local MDT tools for authorised St George's users. Please use the public equivalents above unless you have been given access.

