Comprehensive Guide to Skin Cancer Screening in Toronto: Prevention, Detection, and Treatment

Last updated: 2026

Quick Answer

Skin cancer screening is a medical skin assessment used to check for suspicious moles, changing lesions, non-healing spots, and other skin changes that may require monitoring, biopsy, removal, or referral.

At The Minor Surgery Center, skin checks and mole checks are performed by GP Dermatologists. A GP Dermatologist may perform a focused skin assessment, full-body skin check, and dermoscopy-based assessment when clinically appropriate.

If a mole or skin lesion requires biopsy, excision, removal, or surgical treatment, patients may be referred or directed to one of TMSC’s board-certified plastic surgeons.

The pathway is simple:

  • GP Dermatologists perform mole checks, full-body skin checks, and dermoscopy-based assessment.
  • Plastic surgeons perform biopsy, mole removal, excision, surgical closure, and skin cancer surgery when appropriate.
  • Pathology confirms whether removed tissue is benign, atypical, precancerous, or cancerous.

If you need a skin check, book with a GP Dermatologist. If a lesion has already been assessed and removal or biopsy has been recommended, book for surgical intervention with a plastic surgeon.

Why Skin Cancer Screening Matters

Skin cancer is one of the most common cancers, and early detection can make treatment simpler and more effective.

Many people delay getting a changing mole or non-healing lesion checked because they are unsure where to go. Some wait for a traditional dermatology referral. Others look for private mole mapping, walk-in clinics, or cosmetic removal options.

The right clinic depends on what you need.

If you need assessment, dermoscopy, or a full-body skin check, book with a provider who performs skin checks.

If you need biopsy, excision, or removal, book with a surgical provider.

At The Minor Surgery Center, patients can access both pathways through the appropriate provider.

What Is Skin Cancer Screening?

Skin cancer screening is a clinical assessment of the skin. It may involve checking one specific lesion or reviewing the skin more broadly for suspicious spots.

A screening appointment may look for signs of:

  • Basal cell carcinoma
  • Squamous cell carcinoma
  • Melanoma
  • Atypical moles
  • Non-healing lesions
  • Changing pigmented spots
  • Bleeding, crusting, or painful skin growths

At TMSC, this type of assessment is performed by GP Dermatologists.

A GP Dermatologist may use a dermatoscope when clinically appropriate. A dermatoscope is a handheld tool used to examine skin structures that may not be visible to the naked eye.

Plastic surgeons at TMSC do not perform dermoscopy-based skin checks. Their role is surgical treatment when biopsy, removal, excision, or closure is needed.

Who Should Get a Skin Check?

You may want to book a skin check if you notice:

  • A mole changing in size, shape, colour, or texture
  • A mole that bleeds, crusts, itches, or becomes painful
  • A new pigmented spot in adulthood
  • A lesion that does not heal
  • A spot that looks different from your other moles
  • A rough, scaly, or growing patch
  • A sore that keeps reopening
  • A personal history of skin cancer
  • A family history of melanoma
  • Many moles or atypical moles
  • Significant sun exposure or tanning bed use

These signs do not confirm skin cancer. They simply mean the lesion should be assessed by an appropriate medical provider.

For mole-specific concerns, see Mole Check Toronto.

What Happens During a Skin Cancer Screening?

A skin cancer screening may include several steps.

1. Review of Your Concern and Risk Factors

The GP Dermatologist may ask about:

  • When the spot first appeared
  • Whether it has changed
  • Whether it bleeds, crusts, itches, or hurts
  • Your personal or family history of skin cancer
  • Your sun exposure history
  • Previous tanning bed use
  • Past biopsies or skin procedures
  • Any photos showing changes over time

A lesion that has changed quickly may require a different pathway than a mole that has been stable for years.

2. Skin Examination

The provider examines the area of concern and may perform a broader skin check if appropriate.

This may involve checking the lesion’s:

  • Size
  • Shape
  • Border
  • Colour
  • Surface
  • Texture
  • Symptoms
  • Surrounding skin
  • Comparison to your other moles or spots

3. Dermoscopy When Appropriate

A GP Dermatologist may use a dermatoscope to examine a mole or skin lesion more closely.

Dermoscopy can help identify features that are not obvious with visual inspection alone. It does not replace pathology, but it can help guide whether monitoring, biopsy, removal, or referral may be appropriate.

At TMSC, dermoscopy-based checks are performed by GP Dermatologists.

4. Recommendation for Next Steps

After the assessment, the provider may recommend:

  • No treatment needed
  • Monitoring or follow-up
  • Biopsy
  • Mole removal
  • Surgical excision
  • Referral or direction to another provider
  • Follow-up with your family doctor, dermatologist, or specialist

If biopsy, excision, or surgical treatment is needed, the patient may be referred or directed to one of TMSC’s plastic surgeons.

Skin Check vs. Mole Mapping vs. Biopsy

These services are often confused, but they are not the same.

Skin Check

A skin check is a clinical assessment performed by a medical provider. It may focus on one lesion or involve a full-body skin check.

At TMSC, this is performed by GP Dermatologists.

Mole Mapping

Mole mapping usually involves photography or digital imaging to track moles over time.

It may be useful for people with many moles, atypical moles, or higher melanoma risk. Mole mapping is not the same as surgical removal or biopsy.

For more detail, read Mole Mapping vs. Full Body Mole Check.

Biopsy

A biopsy is a procedure where tissue is removed and sent to pathology.

Pathology is what confirms whether tissue is benign, atypical, precancerous, or cancerous.

At TMSC, biopsy and excision are performed by plastic surgeons when appropriate.

Mole Removal or Excision

Mole removal or excision physically removes a lesion from the skin.

This may be done for cosmetic reasons, comfort, irritation, biopsy, or treatment of a confirmed or suspected lesion.

Learn more about Toronto Mole Removal & Surgery.

Common Types of Skin Cancer

Skin cancer treatment depends on the diagnosis, lesion type, location, size, depth, margins, and overall clinical situation.

Basal Cell Carcinoma

Basal cell carcinoma is a common form of skin cancer. It often appears as a non-healing spot, pearly bump, pink patch, or lesion that bleeds or crusts.

Treatment may involve surgical removal when appropriate.

Learn more about Basal Cell Carcinoma Removal.

Squamous Cell Carcinoma

Squamous cell carcinoma may appear as a rough, scaly, crusted, tender, or growing lesion.

Some squamous cell carcinomas can become more invasive, so timely assessment and treatment matter.

Learn more about Squamous Cell Carcinoma Surgery.

Melanoma

Melanoma can appear as a changing mole, new dark spot, irregular lesion, or mole that looks different from the others.

If melanoma is suspected or confirmed, treatment depends on pathology and staging.

Learn more about Melanoma Surgery.

When Skin Cancer Screening Leads to Biopsy or Removal

Not every skin check leads to a procedure.

A GP Dermatologist may recommend biopsy or removal if a lesion has concerning features, has changed, is symptomatic, or needs tissue analysis.

If biopsy or removal is recommended, a plastic surgeon may perform the procedure when appropriate.

The removed tissue may be sent to pathology. The pathology report helps determine:

  • What the lesion is
  • Whether it is benign, atypical, precancerous, or cancerous
  • Whether the lesion appears fully removed
  • Whether additional excision or follow-up is needed

What Happens If Pathology Shows Skin Cancer?

If pathology identifies skin cancer, the next step depends on the result.

Possible next steps may include:

  • No further treatment if the lesion was fully removed
  • Additional excision to clear margins
  • Follow-up monitoring
  • Referral to another specialist
  • Coordination with a dermatologist, family doctor, oncologist, or another provider if needed

Some skin cancer surgeries may be performed at TMSC. Other cases may require a different care pathway depending on the diagnosis and clinical situation.

For more information, see Skin Cancer Treatment.

Skin Cancer Screening Cost in Toronto

The cost of skin cancer screening in Toronto depends on the type of clinic, provider, referral pathway, and service.

Common options may include:

  • OHIP-covered family doctor assessment
  • OHIP-covered dermatologist visit with referral
  • Private skin check
  • Private mole mapping or full-body photography
  • GP Dermatologist skin check
  • Surgical consultation
  • Biopsy or excision if medically necessary
  • Cosmetic mole removal if the lesion is benign and removed by preference

At TMSC, consultations are free. Pricing or coverage for treatment depends on the reason for removal, whether the procedure is cosmetic or medically necessary, whether pathology is required, and applicable OHIP rules.

Cosmetic mole removal is not covered by OHIP.

If a lesion requires biopsy or treatment for medical reasons, the clinic can confirm coverage and cost details before treatment.

Do You Need a Referral?

No referral is needed to contact The Minor Surgery Center.

However, the correct appointment depends on your concern.

Book with a GP Dermatologist if:

  • You need a mole check
  • You want a full-body skin check
  • You are worried about a changing lesion
  • You want dermoscopy-based assessment when appropriate
  • You are unsure whether a lesion needs removal

Book with a plastic surgeon if:

  • A lesion has already been assessed
  • Biopsy has been recommended
  • Removal or excision has been recommended
  • You want cosmetic mole removal
  • You need surgical treatment
  • You need tissue sent to pathology

If you are unsure which appointment to book, the TMSC team can help route you to the appropriate provider.

How to Prepare for a Skin Check

Before your appointment:

  • Note when the lesion first appeared
  • Take photos if it has changed over time
  • Bring any previous biopsy reports if available
  • Bring notes from your family doctor, dermatologist, or another provider
  • Avoid covering the lesion with makeup
  • Make a list of spots you want checked
  • Bring your health card and medication list

If another provider already recommended biopsy or removal, bring that information with you.

Prevention: How to Lower Skin Cancer Risk

Skin cancer prevention focuses on reducing UV damage and noticing changes early.

Helpful steps include:

  • Use broad-spectrum sunscreen
  • Reapply sunscreen when outdoors
  • Avoid tanning beds
  • Wear protective clothing, hats, and sunglasses
  • Seek shade during peak sun hours
  • Avoid burns
  • Check your skin regularly for new or changing spots
  • Book a medical assessment if something changes

Self-checks do not replace professional assessment, but they can help you notice changes sooner.

For visual education, read Skin Cancer Images: A Visual Guide.

Related TMSC Resources

You may also find these pages helpful:

FAQs

Does TMSC provide skin cancer screening?

TMSC provides mole checks and skin assessments with GP Dermatologists. A GP Dermatologist may perform a focused or full-body skin check and may use a dermatoscope when clinically appropriate.

Plastic surgeons at TMSC provide biopsy, removal, excision, closure, and surgical treatment when appropriate.

Does TMSC use dermatoscopes?

GP Dermatologists at TMSC may use dermatoscopes during mole checks or skin assessments when clinically appropriate.

Plastic surgeons do not perform dermoscopy-based mole checks.

What is the difference between screening and biopsy?

Screening is an assessment. It helps determine whether a lesion may need monitoring, referral, biopsy, or removal.

A biopsy is a procedure where tissue is removed and sent to pathology. Pathology confirms what the tissue is.

Can I book without a referral?

Yes. Patients can contact TMSC directly.

The right appointment depends on whether you need a GP Dermatologist skin check or a plastic surgeon for biopsy, removal, excision, or treatment.

Can a skin check and removal happen at the same clinic?

Yes, depending on the situation and provider availability.

A GP Dermatologist may assess the lesion first. If biopsy or removal is appropriate, the patient may be referred or directed to a plastic surgeon.

Is skin cancer screening covered by OHIP?

Coverage depends on the provider, referral pathway, medical necessity, and the service being performed.

Cosmetic mole removal is not covered by OHIP. If a lesion requires biopsy or treatment for medical reasons, coverage may vary depending on the clinical situation and applicable OHIP rules.

How often should I get a skin check?

The right frequency depends on your risk factors, mole count, personal history, family history, and whether you have changing lesions.

A GP Dermatologist, dermatologist, or family doctor can advise what schedule makes sense for you.

What if I already know I need a mole removed?

If a family doctor, dermatologist, GP Dermatologist, or another provider has already recommended biopsy or removal, book with a plastic surgeon for surgical consultation and treatment planning.

What if I am not sure whether the mole is concerning?

If you are unsure, book a mole check or skin assessment with a GP Dermatologist.

What happens if skin cancer is found?

If pathology confirms skin cancer, the next step depends on the type of cancer, margins, location, and clinical situation. Next steps may include further excision, follow-up, referral, or coordination with another specialist.

Conclusion

Skin cancer screening is the assessment step. Biopsy, mole removal, and excision are surgical treatment steps.

At The Minor Surgery Center, mole checks and skin assessments are performed by GP Dermatologists. GP Dermatologists may use dermatoscopes when clinically appropriate.

Plastic surgeons perform biopsy, removal, excision, closure, and surgical treatment when needed.

If you need assessment, book a mole check with a GP Dermatologist.

If a lesion has already been assessed and biopsy or removal has been recommended, book for mole removal or surgical treatment.

June 24, 2026