Our center specializes in the comprehensive management of skin and adnexal tumors, providing patients with advanced diagnostic and treatment options in a compassionate care environment.
Management of Squamous Cell Carcinoma
We provide expert care for cutaneous squamous cell carcinoma (SCC), including:
- Early-stage SCC: Surgical excision with appropriate margins, Mohs micrographic surgery, or topical therapies for superficial lesions.
- High-risk SCC: Management of tumors with features associated with higher recurrence and metastatic potential, including large size, poor differentiation, perineural invasion, and immunocompromised patients.
- Advanced and Metastatic SCC: Multimodal approach including surgery, radiation therapy, systemic therapies, and immunotherapy for locally advanced or metastatic disease.
- Regional Lymph Node Management: Sentinel lymph node biopsy and complete lymph node dissection when indicated.
Management of Malignant Melanoma
Our comprehensive approach to malignant melanoma includes:
- Early Detection and Diagnosis: Dermoscopic evaluation, total body photography, and biopsy techniques for accurate diagnosis and staging.
- Surgical Management: Wide local excision with appropriate margins based on Breslow thickness and tumor characteristics.
- Sentinel Lymph Node Biopsy: Accurate staging procedure for intermediate-thickness melanomas and selected thin melanomas with high-risk features.
- Advanced Disease Management: Treatment for regional and metastatic disease including complete lymph node dissection, targeted therapy, immunotherapy, and radiation therapy.
- Genetic Testing and Counseling: Evaluation for hereditary melanoma syndromes when clinically indicated.
Other Skin and Adnexal Tumors
We also specialize in the management of various other skin and adnexal tumors:
- Basal Cell Carcinoma: The most common skin cancer, managed with surgical excision, Mohs surgery, or non-surgical modalities based on tumor characteristics and location.
- Merkel Cell Carcinoma: A rare and aggressive neuroendocrine carcinoma of the skin requiring multimodal treatment.
- Dermatofibrosarcoma Protuberans (DFSP): A rare soft tissue sarcoma arising from the dermis, often requiring wide excision with margin control.
- Adnexal Carcinomas: Management of rare tumors arising from sweat glands, sebaceous glands, and hair follicles, including sebaceous carcinoma, eccrine carcinoma, and trichilemmal carcinoma.
- Cutaneous Lymphomas: Collaboration with hematology-Oncology for management of primary cutaneous lymphomas.
Our Comprehensive Approach
We employ a multidisciplinary team approach including surgical oncologists, dermatologists, medical oncologists, radiation oncologists, radiologists, and pathologists to develop individualized treatment plans. Our services include:
- Advanced diagnostic techniques including dermoscopy, reflectance confocal microscopy, and precision biopsy
- Mohs micrographic surgery for high-risk facial tumors and tissue conservation
- Complex reconstruction after tumor excision, including local flaps and skin grafts
- Sentinel lymph node biopsy and complete lymph node dissection
- Coordinated care with Oncology specialists for systemic therapy and immunotherapy
- Surveillance and long-term follow-up for high-risk skin cancers
- Genetic counseling and testing for hereditary cancer syndromes
We understand the unique challenges of skin cancer diagnosis and treatment. Our team is committed to providing not only expert medical care but also comprehensive patient education on sun protection and skin cancer prevention.
