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Solar UV skin cancer — DOccMed MCQ

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ModerateOccupational CancerSolar UV skin cancerDOccMed

A 61-year-old road worker has multiple actinic keratoses and a new non-healing lesion on the ear. He has worked outdoors for 30 years and rarely used sun protection supplied by the employer. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Refer urgently for dermatology assessment and advise workplace UV risk controls

A non-healing ear lesion in an outdoor worker may represent non-melanoma skin cancer and needs urgent clinical assessment. Solar UV is an occupational exposure for outdoor workers, and risk controls include shade, clothing, scheduling and sunscreen. RIDDOR reporting depends on diagnosis and occupational linkage, not suspicion alone. Patch testing is not relevant to suspected UV-related cancer.

Reference: HSE Sun protection guidance; NICE suspected cancer guidance