Basal Cell Carcinoma, Squamous Cell Carcinoma, Melanoma

Skin cancer is the most common of all cancers. Dr. Taylor and Dr. Sullivan, Boston Mass area plastic surgeons, frequently treat basal cell carcinoma, squamous cell carcinoma, and malignant melanoma. Other less common skin cancers include metatstatic cancer to the skin, merkel cell carcinoma, and Marjolin's ulcer. They have published their extensive experience with caring for skin cancers and melanoma and teach Harvard Medical School students and surgery residents about caring for patients with melanoma and skin cancer.

 
20. Sullivan SR, Scott JR, Cole JK, Chi Y, Anaya DA, Yeung R, Mann G, Byrd D, Isik FF. Head and neck malignant melanoma margin status and immediate reconstruction. Annals of Plastic Surgery. 2009;62(2)-144-148.jpeg

Dr. Sullivan’s research on skin cancer and melanoma with results of surgical treament

Sullivan SR, Scott JR, Cole JK, Chi Y, Anaya DA, Yeung R, Mann G, Byrd D, Isik FF. Head and neck malignant melanoma margin status and immediate reconstruction. Annals of Plastic Surgery. 2009;62(2):144-148

 

Dr. Sullivan’s research on skin cancer and melanoma with long-term results of surgical treatment

Sullivan SR, Liu D, Mathes DW, Isik FF. Malignant melanoma of the head and neck: Local recurrence following wide local excision and immediate reconstruction. Annals of Plastic Surgery. 2012;68(1):33-36

 

Malignant Melanoma

Melanoma is the fifth most common cancer in the United States and the incidence has increased dramatically over the last several decades. Each year, there are approximately 1400 patients who develop melanoma in Massachusetts, which is 26% higher than the national average. Treatment of melanoma is primarily surgical with wide local excision and may also require a sentinel lymph node biopsy. Approximately 20% of all melanomas occur in the head and neck, an area where Dr. Taylor and Dr. Sullivan have particular expertise as board certified plastic surgeons and fellowship trained craniofacial surgeons. Following wide excision, options for reconstruction include primary closure, secondary closure, skin grafting, or adjacent tissue transfer. When reconstruction is performed immediately after excision with adjacent tissue transfer, we have published some of the lowest rates of recurrence in the literature. This success with treating melanoma is due to a close working team. Dr. Taylor and Dr. Sullivan are part of a cutaneous oncology team at Mount Auburn Hospital, which provides comprehensive treatment for melanoma and skin cancer, including Plastic Surgery, Dermatology, Surgical Oncology, Medical Oncology, Radiation Oncology, and Pathology. The same model of care has become the standard for patients with breast cancer.

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Acral Lentiingous Melanoma

This patient was cared for in Haiti by Dr. Sullivan while volunteering with Partners in Health and Zanmi Lasante in Cange. The base of the left foot has a large melanoma with dark pigment and ulceration. The patient also had spread of the melanoma to the lymph nodes. This type of melanoma, acral lentiginous, is one of the least common overall and is found on the palms and soles. Nevertheless, acral lentiginous is the most common type in people of darker skin color and is often diagnosed at a more advanced stage. Singer Bob Marley died from acral lentiginous melanoma.

 

Lentigo Maligna Melanoma

This patient had lentigo maligna melanoma (melanoma in situ) on the forehead and underwent wide local excision under local anesthesia. The scar was placed along the forehead wrinkles and the patient recovered quickly with little discomfort and complete removal of the melanoma

Squamous Cell Carcinoma

Squamous cell carcinoma of the skin is one of the most common cancers. The cancer usually appears as a red, raised, firm, ulcerated mass. Risk factors include sun or radiation exposure, actinic keratosis, and immunosuppression. The tumors can grow as well as spread throughout the body. Treatment of cutaneous squamous cell carcinoma is primarily surgical with excision. Many of these cancers occur in the head and neck, an area where Dr. Taylor and Dr. Sullivan have particular expertise as board certified plastic surgeons and fellowship trained craniofacial surgeons. Following wide excision, options for reconstruction include primary closure, secondary closure, skin grafting, or adjacent tissue transfer. As with melanoma, success with treating cutaneous squamous cell carcinoma is due to a close working team. Dr. Taylor and Dr. Sullivan are part of a cutaneous oncology team at Mount Auburn Hospital, which provides comprehensive treatment for skin cancer, including Plastic Surgery, Dermatology, Surgical Oncology, Medical Oncology, Radiation Oncology, and Pathology.

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Skin Squamous Cell Carinoma Right Ear

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Skin Squamous Cell Carinoma Left Ear

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Postoperative result of pyogenic granuloma excision from lip.