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Long Delay Between Surgery and Radiation

Forums General Melanoma Community Long Delay Between Surgery and Radiation

  • Post
    sjl
    Participant

      My husband was diagnosed with malignant melanoma of the nasal cavity in April following what was thought to be a routine procedure for an inverted pappiloma.  On May 8, more surgery was performed on the nose to get clear margins and many lymph nodes were removed, one of which was malignant.  They are calling it Stage3:  T3c, N1, M0.    He is to start radiation and then interferon but there have been many delays.  A node on one lung was questionable and after being bounced around from place to place and undergoing one test after another (CT's, MRI&

      My husband was diagnosed with malignant melanoma of the nasal cavity in April following what was thought to be a routine procedure for an inverted pappiloma.  On May 8, more surgery was performed on the nose to get clear margins and many lymph nodes were removed, one of which was malignant.  They are calling it Stage3:  T3c, N1, M0.    He is to start radiation and then interferon but there have been many delays.  A node on one lung was questionable and after being bounced around from place to place and undergoing one test after another (CT's, MRI's, PetScan, Lung Biopsy and so on) it has been determined that he also has a primary lung cancer, non small cell squamous.  Once that is removed, they will begin radiation for the melanoma on the nose and neck.  The surgery isn't scheduled until August 23.  The radiologist says he will see my husband 2 weeks post surgery to begin treatment. All agree that the lung needs to be taken care of first.  I am scared out of my mind over the delay but the doctors will not do radiation until the lung nodule comes out (expected to have only part of the lobe removed with no further treatment necessary for the lung).  It's not as though nobody has been seeing my husband in all this time.  We have been seeing someone or having tests done every week somewhere since this began, with the exception of one or two nonconsecutive weeks.  All test results, scans and reports have been forwarded to his melanoma specialist at the Hillman Cancer Center and he is aware of everything.  What do you think of all this?  My husband was scheduled to have the lung surgery on August 13 but of all things, he called today and had it changed to August 23 so he could spend more time with our son before he leaves for college and attend his nieces wedding before the surgery.  Do you think that the ten day delay will matter after all of this time?  I'm at my wits end with all of this, and now with him for postponing the surgery after we were finally able to get a date.  he has been given a 50/50 chance on the outcome for the melanoma.

    Viewing 14 reply threads
    • Replies
        aldakota22
        Participant

          Sorry for the bad news.If I was in your husbands shoes I would not delay any surgery.Get it done as soon as possible.Time very often is an enemy .Will be in my prayers.Beat the Beast.  Al

          aldakota22
          Participant

            Sorry for the bad news.If I was in your husbands shoes I would not delay any surgery.Get it done as soon as possible.Time very often is an enemy .Will be in my prayers.Beat the Beast.  Al

            aldakota22
            Participant

              Sorry for the bad news.If I was in your husbands shoes I would not delay any surgery.Get it done as soon as possible.Time very often is an enemy .Will be in my prayers.Beat the Beast.  Al

              jyc
              Participant

                I'm a lurker on this board and I was moved to reply when I saw your post and it hit home with me.

                My dad was diagnosed with nasal melanoma in 2007 after what they thought was a routine surgery for a nasal polyp.  After the initial surgery and diagnosis we were referred to MD Anderson and he had another surgery 1 week later to get clear margins and they also removed 55 lymphnodes and one had micrometastases.  He is Staged 3b.  The surgery was performed endoscopically and basically removed much of his septum leaving little to no cosmetic changes. After surgery the doctors wanted to let his wounds heal before starting radiation treatments for his nose and neck.  I remember he had surgery at the beginning of April and didn't start radiation treatments until early May.  That means there was almost a month's time between surgery and radiation.  They chose to perform 20ish radiation treatments over a 6 week period 4 times a week.  During this period, we also met with the clinical oncologist @ MD Anderson and his tissue was tested for the CKit mutation and fortunately it did present the mutation.  Mucosal melanoma presents the CKit mutation more often than other forms of melanoma and there are systemic treatments available to those with it.  Since completing his treatment in early 2008 he has remained NED and we've gone back for routine scans every 3 months for the first 2 yrs and now every 6 months with the surgeon and he's graduated to yearly check ups with the clinical oncologist.

                 

                 

                We were beyond fortunate and blessed with our outcome and I wish you and your husband all the best.

                I can say that once treatment starts, it feels like a non-stop cycle of radiation, rest, radiation, scan, test, appt, radiation for weeks and it feels like there's hardly time for any form of "normal" in between.  I understand the sense of urgency but I also see that he needs to feel normal a little longer before he takes such a big step.

                Also before any radiation, doctors want to make sure your body is ready. Even your dental health is a factor because once radiation is applied near the mouth, it can affect the blood supply going to the jawbone and teeth which for any future dental procedures can be a risk.  So before any radiation treatment, a dental evaluation must be performed and any dental procedures must be complete before radiation is performed.  And after radiation, if any dental procedures need to be done, the dentist must be informed and sometimes an expert in oncological dentistry may be consulted.

                 

                 

                  sjl
                  Participant

                    Thank you so much for your post.  You have given me some hope, especially since the situations are so similar.  Most of what I've read is so dismal.  I don't know if my husband has the CKit mutation or not.  He had blood drawn anonymously for a study at the Hillman Cancer Center and I was told that the doctor would know the results.  I have asked about the CKit.  We won't see this doctor again until after the lung surgey but I will be asking him again.  It has been 3 months since my husband's last nasal surgery and it will be another month or two before the radiation starts.  I seem to be the only one worried about the delay so I am trying to calm down.  The melanoma doctor told me that if my husband wants to go to the family events to let him.

                    sjl
                    Participant

                      Thank you so much for your post.  You have given me some hope, especially since the situations are so similar.  Most of what I've read is so dismal.  I don't know if my husband has the CKit mutation or not.  He had blood drawn anonymously for a study at the Hillman Cancer Center and I was told that the doctor would know the results.  I have asked about the CKit.  We won't see this doctor again until after the lung surgey but I will be asking him again.  It has been 3 months since my husband's last nasal surgery and it will be another month or two before the radiation starts.  I seem to be the only one worried about the delay so I am trying to calm down.  The melanoma doctor told me that if my husband wants to go to the family events to let him.

                      sjl
                      Participant

                        Thank you so much for your post.  You have given me some hope, especially since the situations are so similar.  Most of what I've read is so dismal.  I don't know if my husband has the CKit mutation or not.  He had blood drawn anonymously for a study at the Hillman Cancer Center and I was told that the doctor would know the results.  I have asked about the CKit.  We won't see this doctor again until after the lung surgey but I will be asking him again.  It has been 3 months since my husband's last nasal surgery and it will be another month or two before the radiation starts.  I seem to be the only one worried about the delay so I am trying to calm down.  The melanoma doctor told me that if my husband wants to go to the family events to let him.

                      jyc
                      Participant

                        I'm a lurker on this board and I was moved to reply when I saw your post and it hit home with me.

                        My dad was diagnosed with nasal melanoma in 2007 after what they thought was a routine surgery for a nasal polyp.  After the initial surgery and diagnosis we were referred to MD Anderson and he had another surgery 1 week later to get clear margins and they also removed 55 lymphnodes and one had micrometastases.  He is Staged 3b.  The surgery was performed endoscopically and basically removed much of his septum leaving little to no cosmetic changes. After surgery the doctors wanted to let his wounds heal before starting radiation treatments for his nose and neck.  I remember he had surgery at the beginning of April and didn't start radiation treatments until early May.  That means there was almost a month's time between surgery and radiation.  They chose to perform 20ish radiation treatments over a 6 week period 4 times a week.  During this period, we also met with the clinical oncologist @ MD Anderson and his tissue was tested for the CKit mutation and fortunately it did present the mutation.  Mucosal melanoma presents the CKit mutation more often than other forms of melanoma and there are systemic treatments available to those with it.  Since completing his treatment in early 2008 he has remained NED and we've gone back for routine scans every 3 months for the first 2 yrs and now every 6 months with the surgeon and he's graduated to yearly check ups with the clinical oncologist.

                         

                         

                        We were beyond fortunate and blessed with our outcome and I wish you and your husband all the best.

                        I can say that once treatment starts, it feels like a non-stop cycle of radiation, rest, radiation, scan, test, appt, radiation for weeks and it feels like there's hardly time for any form of "normal" in between.  I understand the sense of urgency but I also see that he needs to feel normal a little longer before he takes such a big step.

                        Also before any radiation, doctors want to make sure your body is ready. Even your dental health is a factor because once radiation is applied near the mouth, it can affect the blood supply going to the jawbone and teeth which for any future dental procedures can be a risk.  So before any radiation treatment, a dental evaluation must be performed and any dental procedures must be complete before radiation is performed.  And after radiation, if any dental procedures need to be done, the dentist must be informed and sometimes an expert in oncological dentistry may be consulted.

                         

                         

                        jyc
                        Participant

                          I'm a lurker on this board and I was moved to reply when I saw your post and it hit home with me.

                          My dad was diagnosed with nasal melanoma in 2007 after what they thought was a routine surgery for a nasal polyp.  After the initial surgery and diagnosis we were referred to MD Anderson and he had another surgery 1 week later to get clear margins and they also removed 55 lymphnodes and one had micrometastases.  He is Staged 3b.  The surgery was performed endoscopically and basically removed much of his septum leaving little to no cosmetic changes. After surgery the doctors wanted to let his wounds heal before starting radiation treatments for his nose and neck.  I remember he had surgery at the beginning of April and didn't start radiation treatments until early May.  That means there was almost a month's time between surgery and radiation.  They chose to perform 20ish radiation treatments over a 6 week period 4 times a week.  During this period, we also met with the clinical oncologist @ MD Anderson and his tissue was tested for the CKit mutation and fortunately it did present the mutation.  Mucosal melanoma presents the CKit mutation more often than other forms of melanoma and there are systemic treatments available to those with it.  Since completing his treatment in early 2008 he has remained NED and we've gone back for routine scans every 3 months for the first 2 yrs and now every 6 months with the surgeon and he's graduated to yearly check ups with the clinical oncologist.

                           

                           

                          We were beyond fortunate and blessed with our outcome and I wish you and your husband all the best.

                          I can say that once treatment starts, it feels like a non-stop cycle of radiation, rest, radiation, scan, test, appt, radiation for weeks and it feels like there's hardly time for any form of "normal" in between.  I understand the sense of urgency but I also see that he needs to feel normal a little longer before he takes such a big step.

                          Also before any radiation, doctors want to make sure your body is ready. Even your dental health is a factor because once radiation is applied near the mouth, it can affect the blood supply going to the jawbone and teeth which for any future dental procedures can be a risk.  So before any radiation treatment, a dental evaluation must be performed and any dental procedures must be complete before radiation is performed.  And after radiation, if any dental procedures need to be done, the dentist must be informed and sometimes an expert in oncological dentistry may be consulted.

                           

                           

                          King
                          Participant

                            Hi,

                             

                            I'm going to answer the question about the 10 day delay.  The previous person who replied had very good points about mucosal melanoma, radiation, dental concerns, etc.

                            In the long run, I don't feel the 10 day delay will make a difference.  Sometimes, as patients we have to feel like we have some "control" over our disease and treatments.  It must be very important to your husband to spend more time with your son and attend a family member's wedding.  If that is what he wants to do, I say support his decision and don't make him feel guilty.  When I was notified that my melanoma had spread to my liver, we went on a 4 week road trip that we had planned.   Yes, there was a bit of a black cloud over our heads but we had planned this trip while I was doing the 12 months of Interferon.  

                            The only thing that comes to mind is that Interferon is recommended to be started within 56 days after surgery.  However, since your husband has now been diagnosed with lung cancer as well, it doesn't look like he will fall into the 56 day window if his lung surgery is August 13 or August 23.  I do know of patients that started Interferon after that 56 day window.

                            Hoping all goes well.

                             

                            Stay Strong

                            King

                            Stage IV  7/05  Liver Mets

                            King
                            Participant

                              Hi,

                               

                              I'm going to answer the question about the 10 day delay.  The previous person who replied had very good points about mucosal melanoma, radiation, dental concerns, etc.

                              In the long run, I don't feel the 10 day delay will make a difference.  Sometimes, as patients we have to feel like we have some "control" over our disease and treatments.  It must be very important to your husband to spend more time with your son and attend a family member's wedding.  If that is what he wants to do, I say support his decision and don't make him feel guilty.  When I was notified that my melanoma had spread to my liver, we went on a 4 week road trip that we had planned.   Yes, there was a bit of a black cloud over our heads but we had planned this trip while I was doing the 12 months of Interferon.  

                              The only thing that comes to mind is that Interferon is recommended to be started within 56 days after surgery.  However, since your husband has now been diagnosed with lung cancer as well, it doesn't look like he will fall into the 56 day window if his lung surgery is August 13 or August 23.  I do know of patients that started Interferon after that 56 day window.

                              Hoping all goes well.

                               

                              Stay Strong

                              King

                              Stage IV  7/05  Liver Mets

                                sjl
                                Participant

                                  Thanks for your post.  The doctor told me yesterday that I should let my husband be with our son and go to the wedding if that's what he wants to do.  I didn't know about the 56 day time frame to start interferon.  My husband's nasal surgery was on May 8 so we are well past that already.  The only thing we know for sure is that they are doing radiation. They've talked about interferon but we haven't even seen the chemo doctor yet.  That won't be until after the radiation.  Maybe we will find out more when we see the melanoma doctor is September.  This is such a process to go through and I know it's just beginning.  I know the doctors need to get their ducks in a row before they begin treatment but it just takes so long and I wanted it all done yesterday.

                                  sjl
                                  Participant

                                    Thanks for your post.  The doctor told me yesterday that I should let my husband be with our son and go to the wedding if that's what he wants to do.  I didn't know about the 56 day time frame to start interferon.  My husband's nasal surgery was on May 8 so we are well past that already.  The only thing we know for sure is that they are doing radiation. They've talked about interferon but we haven't even seen the chemo doctor yet.  That won't be until after the radiation.  Maybe we will find out more when we see the melanoma doctor is September.  This is such a process to go through and I know it's just beginning.  I know the doctors need to get their ducks in a row before they begin treatment but it just takes so long and I wanted it all done yesterday.

                                    sjl
                                    Participant

                                      Thanks for your post.  The doctor told me yesterday that I should let my husband be with our son and go to the wedding if that's what he wants to do.  I didn't know about the 56 day time frame to start interferon.  My husband's nasal surgery was on May 8 so we are well past that already.  The only thing we know for sure is that they are doing radiation. They've talked about interferon but we haven't even seen the chemo doctor yet.  That won't be until after the radiation.  Maybe we will find out more when we see the melanoma doctor is September.  This is such a process to go through and I know it's just beginning.  I know the doctors need to get their ducks in a row before they begin treatment but it just takes so long and I wanted it all done yesterday.

                                    King
                                    Participant

                                      Hi,

                                       

                                      I'm going to answer the question about the 10 day delay.  The previous person who replied had very good points about mucosal melanoma, radiation, dental concerns, etc.

                                      In the long run, I don't feel the 10 day delay will make a difference.  Sometimes, as patients we have to feel like we have some "control" over our disease and treatments.  It must be very important to your husband to spend more time with your son and attend a family member's wedding.  If that is what he wants to do, I say support his decision and don't make him feel guilty.  When I was notified that my melanoma had spread to my liver, we went on a 4 week road trip that we had planned.   Yes, there was a bit of a black cloud over our heads but we had planned this trip while I was doing the 12 months of Interferon.  

                                      The only thing that comes to mind is that Interferon is recommended to be started within 56 days after surgery.  However, since your husband has now been diagnosed with lung cancer as well, it doesn't look like he will fall into the 56 day window if his lung surgery is August 13 or August 23.  I do know of patients that started Interferon after that 56 day window.

                                      Hoping all goes well.

                                       

                                      Stay Strong

                                      King

                                      Stage IV  7/05  Liver Mets

                                      barb3246
                                      Participant

                                        Could someone tell me what your nasal melnoma looked like? I see that 2 of you had what was thought a nasal polyp or papilloma, only to have melanoma diagnosed.   I too have a papilloma in one nostril, and now I'm wondering if it could be something more sinister…?

                                        barb3246
                                        Participant

                                          Could someone tell me what your nasal melnoma looked like? I see that 2 of you had what was thought a nasal polyp or papilloma, only to have melanoma diagnosed.   I too have a papilloma in one nostril, and now I'm wondering if it could be something more sinister…?

                                            sjl
                                            Participant

                                              I don't know what my husband's melanoma looked like.  It was something he felt in his nose, like a cotton ball as he described it.  His PCP thought it was a polyp and referrred him to an ENT who thought it was an inverted pappiloma.  In either case, it is rare for it to be malignant.  It is even more rare for it to be melanoma.  Less than 1% of melanoma's are in the nasal cavity. 

                                              The ENT was very surprised with the biopsy results.  He had warned me post surgery that things didn't look as he expected but he thought then that even if it was cancer the prognosis would be good.  When the results came back he was flabbergasted.  He had never seen this before and said it didn't even look suspicious for melanoma specifically.

                                                So, get the polyp removed and try not to worry much.  They will biopsy it andunless your doctor tells you otherwise  the odds are in your favor that it is nothing to worry about.  Keep telling yourself that until you get the results.  I wish you the best.  My friend just had a pile of sinus polyps removed and that's all they were – just polyps.
                                               

                                              sjl
                                              Participant

                                                I don't know what my husband's melanoma looked like.  It was something he felt in his nose, like a cotton ball as he described it.  His PCP thought it was a polyp and referrred him to an ENT who thought it was an inverted pappiloma.  In either case, it is rare for it to be malignant.  It is even more rare for it to be melanoma.  Less than 1% of melanoma's are in the nasal cavity. 

                                                The ENT was very surprised with the biopsy results.  He had warned me post surgery that things didn't look as he expected but he thought then that even if it was cancer the prognosis would be good.  When the results came back he was flabbergasted.  He had never seen this before and said it didn't even look suspicious for melanoma specifically.

                                                  So, get the polyp removed and try not to worry much.  They will biopsy it andunless your doctor tells you otherwise  the odds are in your favor that it is nothing to worry about.  Keep telling yourself that until you get the results.  I wish you the best.  My friend just had a pile of sinus polyps removed and that's all they were – just polyps.
                                                 

                                                sjl
                                                Participant

                                                  I don't know what my husband's melanoma looked like.  It was something he felt in his nose, like a cotton ball as he described it.  His PCP thought it was a polyp and referrred him to an ENT who thought it was an inverted pappiloma.  In either case, it is rare for it to be malignant.  It is even more rare for it to be melanoma.  Less than 1% of melanoma's are in the nasal cavity. 

                                                  The ENT was very surprised with the biopsy results.  He had warned me post surgery that things didn't look as he expected but he thought then that even if it was cancer the prognosis would be good.  When the results came back he was flabbergasted.  He had never seen this before and said it didn't even look suspicious for melanoma specifically.

                                                    So, get the polyp removed and try not to worry much.  They will biopsy it andunless your doctor tells you otherwise  the odds are in your favor that it is nothing to worry about.  Keep telling yourself that until you get the results.  I wish you the best.  My friend just had a pile of sinus polyps removed and that's all they were – just polyps.
                                                   

                                                barb3246
                                                Participant

                                                  Could someone tell me what your nasal melnoma looked like? I see that 2 of you had what was thought a nasal polyp or papilloma, only to have melanoma diagnosed.   I too have a papilloma in one nostril, and now I'm wondering if it could be something more sinister…?

                                                  LynnLuc
                                                  Participant

                                                    Are you going to one of these centers?? Melanoma is not like other cancers and seldom do the recommend Interferon these days….

                                                    Melanoma Care Centers in the United States

                                                    Below is a list of Melanoma Care Centers in the United States where you can refer your patients and access other resources to improve your practice.

                                                    Northeast
                                                    Interdisciplinary Melanoma Program
                                                    Rhode Island Hospital
                                                    Brown Medical School
                                                    Providence, Rhode Island
                                                    401-444-8852
                                                    Michael P. Vezeridis, M.D.
                                                    Martin A. Weinstock, M.D., Ph.D.
                                                    Co-Directors

                                                    Melanoma Program
                                                    Norris Cotton Cancer Center
                                                    Dartmouth Hitchcock Medical Center
                                                    Lebanon, NH
                                                    603-650-5534

                                                    Skin Oncology Program
                                                    Boston Medical Center
                                                    Boston, MA
                                                    617-638-7131
                                                    Physician in charge: Marie-France Demierre, MD

                                                    The Melanoma Program at Massachusetts General Hospital
                                                    Pigmented Lesion Clinic, Arthur J. Sober, MD, Director
                                                    Surgical Oncology, Kenneth K. Tanabe, MD, Director
                                                    Medical Oncology, Frank G. Haluska, MD, PhD, Director
                                                    Boston, MA
                                                    617-724-6082

                                                    Pigmented Lesion Clinic
                                                    Beth Israel Deaconess Medical Center
                                                    Boston, MA
                                                    617-667-3753
                                                    physician in charge: Caroline C. Kim, MD

                                                    Pediatric Pigmented Lesion Clinic
                                                    Children's Hospital Boston
                                                    Boston, MA
                                                    617-355-6117
                                                    physician in charge: Caroline C. Kim, MD

                                                    Multidisciplinary Melanoma Clinic
                                                    University of Connecticut Health Center
                                                    Farmington, CT
                                                    860-679-4600

                                                    Pigmented Lesion Clinic
                                                    Yale Dermatology Consultants
                                                    New Haven, CT
                                                    203-785-4632

                                                    Roswell Park Cancer Institute
                                                    Buffalo, NY
                                                    716-845-7614

                                                    The Tumor Vaccine Program
                                                    Albert Einstein College of Medicine
                                                    New York, NY
                                                    718-430-2000

                                                    Melanoma Disease Management Team
                                                    Memorial Sloan-Kettering Cancer Center
                                                    New York, NY
                                                    212-610-0766
                                                    http://www.mskcc.org

                                                    Pigmented Lesion Section
                                                    New York University Medical Center, Oncology Section
                                                    New York, NY
                                                    212-263-5260
                                                    http://www.med.nyu.edu/derm

                                                    Comprehensive Cancer Center
                                                    Our Lady of Mercy Medical Center
                                                    New York, NY
                                                    718-920-1100

                                                    Mohs Micrographic and Dermatologic Surgery Unit
                                                    Department of Dermatology
                                                    Weill Medical College of Cornell
                                                    New York Presbyterian Hospital
                                                    New York, NY
                                                    212-746-6538

                                                    The Melanoma and Soft Tissue Oncology Program at
                                                    The Cancer Institute of New Jersey
                                                    UMDNJ-Robert Wood Johnson Medical School
                                                    New Brunswick, NJ
                                                    732-235-6777

                                                    Melanoma and Skin Cancer Program
                                                    University of Pittsburgh Cancer Institute
                                                    Hillman Cancer Center
                                                    Pittsburgh, PA
                                                    412-692-4724

                                                    Pigmented Lesion Group
                                                    Hospital of the University of Pennsylvania
                                                    Philadelphia, PA
                                                    215-662-6926

                                                    Midwest
                                                    Multidisciplinary Melanoma Clinic
                                                    Comprehensive Cancer Center, University of Michigan
                                                    Ann Arbor, MI
                                                    734-936-6360
                                                    http://www.cancer.med.umich.edu/clinic/melclinic.htm

                                                    Pigmented Lesion Clinic
                                                    Henry Ford Hospital
                                                    Detroit, MI
                                                    313-916-4060

                                                    Multidisciplinary Melanoma Clinic
                                                    Karmanos Cancer Institute
                                                    Wayne State University
                                                    Detroit, MI
                                                    313-745-9166
                                                    1-800-Karmanos

                                                    Multidisciplinary Melanoma and Pigmented Lesion Clinic
                                                    University of Cincinnati Medical Center
                                                    Cincinnati, OH
                                                    513-584-8900

                                                    MetroHealth Medical Center
                                                    Cancer Care Center Melanoma Program
                                                    2500 MetroHealth Drive
                                                    Cleveland, Ohio 44109

                                                    (216) 778-4795 (Surgical Oncology)
                                                    (216) 778-5802 (Medical Oncology)
                                                    The Melanoma Clinic at the Cleveland Clinic Taussig Cancer Center
                                                    Cleveland, OH
                                                    http://www.clevelandclinic.org/cancer

                                                    The Melanoma Center At The James
                                                    Ohio State University
                                                    Columbus, OH
                                                    614-293-7531 (medical)
                                                    614-293-5644 (surgical)

                                                    Wagner & Associates Plastic and Reconstructive Surgery Consultants of Indiana
                                                    Indianapolis, IN
                                                    317-621-2520
                                                    317-621-2580

                                                    Interdisciplinary Melanoma Clinic
                                                    Indiana University Cancer Center, Indiana University Medical Center
                                                    Indianapolis, IN
                                                    317-278-7449

                                                    Cardinal Bernardin Cancer Center
                                                    Loyola University Chicago
                                                    Chicago, IL
                                                    708-327-2078
                                                    http://www.luhs.org

                                                    Pigmented Lesion Center
                                                    Rush University
                                                    Chicago, IL
                                                    312-563-2321
                                                    http://www.rush.edu/rumc/page-R12605.html

                                                    Melanoma and Pigmented Lesion Center
                                                    University of Minnesota
                                                    Minneapolis, MN
                                                    612-625-5199

                                                    Multidisciplinary Melanoma Group
                                                    St. Louis University Health Sciences Center/SLUCare
                                                    St. Louis, MO
                                                    314-268-5320

                                                    South
                                                    The Melanoma and Pigmented Lesion Clinic
                                                    Johns Hopkins Hospital
                                                    Baltimore, MD
                                                    410-614-1022

                                                    Melanoma Center
                                                    Washington Cancer Institute
                                                    The Washington Hospital Center
                                                    Washington, DC
                                                    202-877-2551
                                                    http://www.whc.mhg.edu

                                                    Blumenthal Cancer Center
                                                    Carolina Medical Center
                                                    Charlotte, NC
                                                    704-355-2757
                                                    http://www.carolinashealthcare.org

                                                    Dermatologic Surgery Unit, Department of Dermatology
                                                    Wake Forest University School of Medicine
                                                    Winston-Salem, NC
                                                    336-716-6276

                                                    The Melanoma Clinic/Pigmented Lesion Clinic
                                                    Duke Comprehensive Cancer Center
                                                    Durham, NC
                                                    919-684-2137

                                                    The University of North Carolina at Chapel Hill
                                                    Chapel Hill, NC 27514
                                                    Melanoma Multidisciplinary Program
                                                    Referrals/Appointments 919-966-9700

                                                    Brown Cancer Center, University Hospital at University of Louisville
                                                    Norton Cancer Center at Norton University
                                                    Louisville, KY
                                                    502-852-1897

                                                    The Dermatology Clinic
                                                    Vanderbilt University Medical Center
                                                    Nashville, TN
                                                    615-322-6485

                                                    Emory Surgery, Melanoma, and Pigmented Lesion Clinic
                                                    Emory University
                                                    Atlanta, GA
                                                    404-778-3354 (Dr Washington), 404-778-5225 (Dr Chen)

                                                    Section of Surgical Oncology
                                                    Winship Cancer Institute
                                                    Emory University
                                                    Atlanta, GA
                                                    Info: 404-778-5233

                                                    Oncology Research Program
                                                    Piedmont Hospital Research Institute
                                                    Atlanta, GA
                                                    404-605-3068
                                                    Email: [email protected]
                                                    http://www.piedmontcancercare.org

                                                    H. Lee Moffitt Cancer Center Cutaneous Oncology Clinic
                                                    Tampa, FL
                                                    813-972-8485
                                                    800-456-3434
                                                    813-972-8400 ext 1968 (new patients)
                                                    http://www.moffitt.usf.edu
                                                    Program Leader: Vernon K. Sondak, MD

                                                    Lakeland Regional Cancer Center
                                                    Cutaneous Oncology Program
                                                    Lakeland, FL
                                                    863-603-6565

                                                    The Pigmented Lesion Clinic
                                                    University of Miami School of Medicine
                                                    Miami, FL
                                                    305-243-4183

                                                    M. D. Anderson Cancer Center Orlando
                                                    1400 S. Orange Avenue
                                                    Orlando, Florida 32806
                                                    407 648-3800
                                                    800 648-3818
                                                    http://www.mdandersonorlando.org/

                                                    Melanoma Skin Center
                                                    Division of Internal Medicine, Department of Dermatology
                                                    M.D. Anderson Cancer Center
                                                    Houston, TX
                                                    713-745-1113

                                                    The Melanoma Center of North Texas
                                                    Dallas, TX
                                                    Phone: (214) 956-6802
                                                    Contact: Jody Jordan, CRA

                                                    Southwest
                                                    Cutaneous Oncology Program/Pigmented Lesion Clinic
                                                    The University of Arizona Cancer Center
                                                    Tucson, Arizona
                                                    520-694-2873 for patient appointments
                                                    http://azcc.arizona.edu/patients/clinic/skin

                                                    Lee Cranmer, MD, PhD
                                                    Evan Hersh, MD
                                                    Joanne Jeter, MD
                                                    Jim Warneke, MD
                                                    Clara Curiel, MD

                                                    West
                                                    Melanoma Multidisciplinary Clinic
                                                    Huntsman Cancer Institute
                                                    Salt Lake City, UT
                                                    801-408-3555 (referrals)

                                                    Cutaneous Oncology
                                                    University of Colorado Cancer Center
                                                    Aschutz Cancer Pavilion
                                                    Aurora, CO
                                                    720-848-0300
                                                    800-473-2288

                                                    The Melanoma Center
                                                    UCSF Clinical Cancer Center
                                                    San Francisco, CA
                                                    415-885-7546

                                                    Northern California Melanoma Center
                                                    San Francisco, California
                                                    415-353-6535
                                                    Associate Director: Robert W. Weber, MD

                                                    Pigmented Lesion and Multidisciplinary Melanoma Clinics
                                                    Stanford University Medical Center
                                                    Stanford, CA
                                                    650-725-5255
                                                    http://cancer.stanfordhospital.com

                                                    The Angeles Clinic and Research Institute
                                                    Affiliated with the John Wayne Cancer Institute
                                                    Santa Monica, CA
                                                    310-231-2178
                                                    website: http://www.theangelesclinic.org/
                                                    email: [email protected]

                                                    The Pigmented Lesion Clinic
                                                    UCLA Dermatology Center
                                                    Los Angeles, CA
                                                    310-825-6911

                                                    North Bay Melanoma Program
                                                    Sponsored by Redwood Regional Medical Group
                                                    Director: Peter B. Brett, M.D.
                                                    652 Petaluma Ave #B
                                                    Sebastopol, CA 95472
                                                    website: http://www.melanomaprogram.org/
                                                    (707) 823-8565

                                                    CHAO Family Comprehensive Cancer Center-Melanoma Clinic
                                                    University of California, Irvine Medical Center
                                                    Orange, CA
                                                    714-456-8171

                                                    Seattle Cancer Care Alliance
                                                    University of Washington
                                                    Seattle, WA
                                                    206-288-2168 (patient referrals)

                                                    LynnLuc
                                                    Participant

                                                      Are you going to one of these centers?? Melanoma is not like other cancers and seldom do the recommend Interferon these days….

                                                      Melanoma Care Centers in the United States

                                                      Below is a list of Melanoma Care Centers in the United States where you can refer your patients and access other resources to improve your practice.

                                                      Northeast
                                                      Interdisciplinary Melanoma Program
                                                      Rhode Island Hospital
                                                      Brown Medical School
                                                      Providence, Rhode Island
                                                      401-444-8852
                                                      Michael P. Vezeridis, M.D.
                                                      Martin A. Weinstock, M.D., Ph.D.
                                                      Co-Directors

                                                      Melanoma Program
                                                      Norris Cotton Cancer Center
                                                      Dartmouth Hitchcock Medical Center
                                                      Lebanon, NH
                                                      603-650-5534

                                                      Skin Oncology Program
                                                      Boston Medical Center
                                                      Boston, MA
                                                      617-638-7131
                                                      Physician in charge: Marie-France Demierre, MD

                                                      The Melanoma Program at Massachusetts General Hospital
                                                      Pigmented Lesion Clinic, Arthur J. Sober, MD, Director
                                                      Surgical Oncology, Kenneth K. Tanabe, MD, Director
                                                      Medical Oncology, Frank G. Haluska, MD, PhD, Director
                                                      Boston, MA
                                                      617-724-6082

                                                      Pigmented Lesion Clinic
                                                      Beth Israel Deaconess Medical Center
                                                      Boston, MA
                                                      617-667-3753
                                                      physician in charge: Caroline C. Kim, MD

                                                      Pediatric Pigmented Lesion Clinic
                                                      Children's Hospital Boston
                                                      Boston, MA
                                                      617-355-6117
                                                      physician in charge: Caroline C. Kim, MD

                                                      Multidisciplinary Melanoma Clinic
                                                      University of Connecticut Health Center
                                                      Farmington, CT
                                                      860-679-4600

                                                      Pigmented Lesion Clinic
                                                      Yale Dermatology Consultants
                                                      New Haven, CT
                                                      203-785-4632

                                                      Roswell Park Cancer Institute
                                                      Buffalo, NY
                                                      716-845-7614

                                                      The Tumor Vaccine Program
                                                      Albert Einstein College of Medicine
                                                      New York, NY
                                                      718-430-2000

                                                      Melanoma Disease Management Team
                                                      Memorial Sloan-Kettering Cancer Center
                                                      New York, NY
                                                      212-610-0766
                                                      http://www.mskcc.org

                                                      Pigmented Lesion Section
                                                      New York University Medical Center, Oncology Section
                                                      New York, NY
                                                      212-263-5260
                                                      http://www.med.nyu.edu/derm

                                                      Comprehensive Cancer Center
                                                      Our Lady of Mercy Medical Center
                                                      New York, NY
                                                      718-920-1100

                                                      Mohs Micrographic and Dermatologic Surgery Unit
                                                      Department of Dermatology
                                                      Weill Medical College of Cornell
                                                      New York Presbyterian Hospital
                                                      New York, NY
                                                      212-746-6538

                                                      The Melanoma and Soft Tissue Oncology Program at
                                                      The Cancer Institute of New Jersey
                                                      UMDNJ-Robert Wood Johnson Medical School
                                                      New Brunswick, NJ
                                                      732-235-6777

                                                      Melanoma and Skin Cancer Program
                                                      University of Pittsburgh Cancer Institute
                                                      Hillman Cancer Center
                                                      Pittsburgh, PA
                                                      412-692-4724

                                                      Pigmented Lesion Group
                                                      Hospital of the University of Pennsylvania
                                                      Philadelphia, PA
                                                      215-662-6926

                                                      Midwest
                                                      Multidisciplinary Melanoma Clinic
                                                      Comprehensive Cancer Center, University of Michigan
                                                      Ann Arbor, MI
                                                      734-936-6360
                                                      http://www.cancer.med.umich.edu/clinic/melclinic.htm

                                                      Pigmented Lesion Clinic
                                                      Henry Ford Hospital
                                                      Detroit, MI
                                                      313-916-4060

                                                      Multidisciplinary Melanoma Clinic
                                                      Karmanos Cancer Institute
                                                      Wayne State University
                                                      Detroit, MI
                                                      313-745-9166
                                                      1-800-Karmanos

                                                      Multidisciplinary Melanoma and Pigmented Lesion Clinic
                                                      University of Cincinnati Medical Center
                                                      Cincinnati, OH
                                                      513-584-8900

                                                      MetroHealth Medical Center
                                                      Cancer Care Center Melanoma Program
                                                      2500 MetroHealth Drive
                                                      Cleveland, Ohio 44109

                                                      (216) 778-4795 (Surgical Oncology)
                                                      (216) 778-5802 (Medical Oncology)
                                                      The Melanoma Clinic at the Cleveland Clinic Taussig Cancer Center
                                                      Cleveland, OH
                                                      http://www.clevelandclinic.org/cancer

                                                      The Melanoma Center At The James
                                                      Ohio State University
                                                      Columbus, OH
                                                      614-293-7531 (medical)
                                                      614-293-5644 (surgical)

                                                      Wagner & Associates Plastic and Reconstructive Surgery Consultants of Indiana
                                                      Indianapolis, IN
                                                      317-621-2520
                                                      317-621-2580

                                                      Interdisciplinary Melanoma Clinic
                                                      Indiana University Cancer Center, Indiana University Medical Center
                                                      Indianapolis, IN
                                                      317-278-7449

                                                      Cardinal Bernardin Cancer Center
                                                      Loyola University Chicago
                                                      Chicago, IL
                                                      708-327-2078
                                                      http://www.luhs.org

                                                      Pigmented Lesion Center
                                                      Rush University
                                                      Chicago, IL
                                                      312-563-2321
                                                      http://www.rush.edu/rumc/page-R12605.html

                                                      Melanoma and Pigmented Lesion Center
                                                      University of Minnesota
                                                      Minneapolis, MN
                                                      612-625-5199

                                                      Multidisciplinary Melanoma Group
                                                      St. Louis University Health Sciences Center/SLUCare
                                                      St. Louis, MO
                                                      314-268-5320

                                                      South
                                                      The Melanoma and Pigmented Lesion Clinic
                                                      Johns Hopkins Hospital
                                                      Baltimore, MD
                                                      410-614-1022

                                                      Melanoma Center
                                                      Washington Cancer Institute
                                                      The Washington Hospital Center
                                                      Washington, DC
                                                      202-877-2551
                                                      http://www.whc.mhg.edu

                                                      Blumenthal Cancer Center
                                                      Carolina Medical Center
                                                      Charlotte, NC
                                                      704-355-2757
                                                      http://www.carolinashealthcare.org

                                                      Dermatologic Surgery Unit, Department of Dermatology
                                                      Wake Forest University School of Medicine
                                                      Winston-Salem, NC
                                                      336-716-6276

                                                      The Melanoma Clinic/Pigmented Lesion Clinic
                                                      Duke Comprehensive Cancer Center
                                                      Durham, NC
                                                      919-684-2137

                                                      The University of North Carolina at Chapel Hill
                                                      Chapel Hill, NC 27514
                                                      Melanoma Multidisciplinary Program
                                                      Referrals/Appointments 919-966-9700

                                                      Brown Cancer Center, University Hospital at University of Louisville
                                                      Norton Cancer Center at Norton University
                                                      Louisville, KY
                                                      502-852-1897

                                                      The Dermatology Clinic
                                                      Vanderbilt University Medical Center
                                                      Nashville, TN
                                                      615-322-6485

                                                      Emory Surgery, Melanoma, and Pigmented Lesion Clinic
                                                      Emory University
                                                      Atlanta, GA
                                                      404-778-3354 (Dr Washington), 404-778-5225 (Dr Chen)

                                                      Section of Surgical Oncology
                                                      Winship Cancer Institute
                                                      Emory University
                                                      Atlanta, GA
                                                      Info: 404-778-5233

                                                      Oncology Research Program
                                                      Piedmont Hospital Research Institute
                                                      Atlanta, GA
                                                      404-605-3068
                                                      Email: [email protected]
                                                      http://www.piedmontcancercare.org

                                                      H. Lee Moffitt Cancer Center Cutaneous Oncology Clinic
                                                      Tampa, FL
                                                      813-972-8485
                                                      800-456-3434
                                                      813-972-8400 ext 1968 (new patients)
                                                      http://www.moffitt.usf.edu
                                                      Program Leader: Vernon K. Sondak, MD

                                                      Lakeland Regional Cancer Center
                                                      Cutaneous Oncology Program
                                                      Lakeland, FL
                                                      863-603-6565

                                                      The Pigmented Lesion Clinic
                                                      University of Miami School of Medicine
                                                      Miami, FL
                                                      305-243-4183

                                                      M. D. Anderson Cancer Center Orlando
                                                      1400 S. Orange Avenue
                                                      Orlando, Florida 32806
                                                      407 648-3800
                                                      800 648-3818
                                                      http://www.mdandersonorlando.org/

                                                      Melanoma Skin Center
                                                      Division of Internal Medicine, Department of Dermatology
                                                      M.D. Anderson Cancer Center
                                                      Houston, TX
                                                      713-745-1113

                                                      The Melanoma Center of North Texas
                                                      Dallas, TX
                                                      Phone: (214) 956-6802
                                                      Contact: Jody Jordan, CRA

                                                      Southwest
                                                      Cutaneous Oncology Program/Pigmented Lesion Clinic
                                                      The University of Arizona Cancer Center
                                                      Tucson, Arizona
                                                      520-694-2873 for patient appointments
                                                      http://azcc.arizona.edu/patients/clinic/skin

                                                      Lee Cranmer, MD, PhD
                                                      Evan Hersh, MD
                                                      Joanne Jeter, MD
                                                      Jim Warneke, MD
                                                      Clara Curiel, MD

                                                      West
                                                      Melanoma Multidisciplinary Clinic
                                                      Huntsman Cancer Institute
                                                      Salt Lake City, UT
                                                      801-408-3555 (referrals)

                                                      Cutaneous Oncology
                                                      University of Colorado Cancer Center
                                                      Aschutz Cancer Pavilion
                                                      Aurora, CO
                                                      720-848-0300
                                                      800-473-2288

                                                      The Melanoma Center
                                                      UCSF Clinical Cancer Center
                                                      San Francisco, CA
                                                      415-885-7546

                                                      Northern California Melanoma Center
                                                      San Francisco, California
                                                      415-353-6535
                                                      Associate Director: Robert W. Weber, MD

                                                      Pigmented Lesion and Multidisciplinary Melanoma Clinics
                                                      Stanford University Medical Center
                                                      Stanford, CA
                                                      650-725-5255
                                                      http://cancer.stanfordhospital.com

                                                      The Angeles Clinic and Research Institute
                                                      Affiliated with the John Wayne Cancer Institute
                                                      Santa Monica, CA
                                                      310-231-2178
                                                      website: http://www.theangelesclinic.org/
                                                      email: [email protected]

                                                      The Pigmented Lesion Clinic
                                                      UCLA Dermatology Center
                                                      Los Angeles, CA
                                                      310-825-6911

                                                      North Bay Melanoma Program
                                                      Sponsored by Redwood Regional Medical Group
                                                      Director: Peter B. Brett, M.D.
                                                      652 Petaluma Ave #B
                                                      Sebastopol, CA 95472
                                                      website: http://www.melanomaprogram.org/
                                                      (707) 823-8565

                                                      CHAO Family Comprehensive Cancer Center-Melanoma Clinic
                                                      University of California, Irvine Medical Center
                                                      Orange, CA
                                                      714-456-8171

                                                      Seattle Cancer Care Alliance
                                                      University of Washington
                                                      Seattle, WA
                                                      206-288-2168 (patient referrals)

                                                        sjl
                                                        Participant

                                                          Thanks so much for the list.  We are going to the Hillman Cancer Center in Pittsburgh PA so I was glad to see it there.  Unfortunately, I'm afraid my worst fears have come true.  This morning my husband woke up and has a chain of bumps closely following the incision line (but not right next to it) where the lymph nodes were removed in May.  I've been so afraid of this.   The doctors have delayed further treament until the lung is taken care of and the process has been so long.  As stated earlier in my post, I was upset with my husband for changing the surgery from Aug 13 to Aug 23 but this has happened before either date anyway.  There was a small swelling at the top of the incision last week when we saw a doctor and he didn't think anything of it.  He said simply that as swelling goes down post surgery that sometimes things show up.  It made sense when he explained it.  Well, these lumps are clearly visible and they just popped up overnight.  I can't believe it happened so fast.  We called Pittsburgh today and were told to call back tomorrow for an appointment.  I hope they see him fast and maybe things aren't as bad as I'm thinking they are.  I just don't understand why the radiation has been let go for so long even with the lung problem.  He's been to doctor after doctor after doctor and they all have access to the entire history.  Somewhere in my notes a doctor had told us that radiation doesn't always prolong life so maybe it's just a "try and hope" sort of thing anyway.   I guess having two types of cancer just complicates things.  I'm not blaming anyone for anything – just tired, scared and confused.

                                                          sjl
                                                          Participant

                                                            Thanks so much for the list.  We are going to the Hillman Cancer Center in Pittsburgh PA so I was glad to see it there.  Unfortunately, I'm afraid my worst fears have come true.  This morning my husband woke up and has a chain of bumps closely following the incision line (but not right next to it) where the lymph nodes were removed in May.  I've been so afraid of this.   The doctors have delayed further treament until the lung is taken care of and the process has been so long.  As stated earlier in my post, I was upset with my husband for changing the surgery from Aug 13 to Aug 23 but this has happened before either date anyway.  There was a small swelling at the top of the incision last week when we saw a doctor and he didn't think anything of it.  He said simply that as swelling goes down post surgery that sometimes things show up.  It made sense when he explained it.  Well, these lumps are clearly visible and they just popped up overnight.  I can't believe it happened so fast.  We called Pittsburgh today and were told to call back tomorrow for an appointment.  I hope they see him fast and maybe things aren't as bad as I'm thinking they are.  I just don't understand why the radiation has been let go for so long even with the lung problem.  He's been to doctor after doctor after doctor and they all have access to the entire history.  Somewhere in my notes a doctor had told us that radiation doesn't always prolong life so maybe it's just a "try and hope" sort of thing anyway.   I guess having two types of cancer just complicates things.  I'm not blaming anyone for anything – just tired, scared and confused.

                                                            sjl
                                                            Participant

                                                              Thanks so much for the list.  We are going to the Hillman Cancer Center in Pittsburgh PA so I was glad to see it there.  Unfortunately, I'm afraid my worst fears have come true.  This morning my husband woke up and has a chain of bumps closely following the incision line (but not right next to it) where the lymph nodes were removed in May.  I've been so afraid of this.   The doctors have delayed further treament until the lung is taken care of and the process has been so long.  As stated earlier in my post, I was upset with my husband for changing the surgery from Aug 13 to Aug 23 but this has happened before either date anyway.  There was a small swelling at the top of the incision last week when we saw a doctor and he didn't think anything of it.  He said simply that as swelling goes down post surgery that sometimes things show up.  It made sense when he explained it.  Well, these lumps are clearly visible and they just popped up overnight.  I can't believe it happened so fast.  We called Pittsburgh today and were told to call back tomorrow for an appointment.  I hope they see him fast and maybe things aren't as bad as I'm thinking they are.  I just don't understand why the radiation has been let go for so long even with the lung problem.  He's been to doctor after doctor after doctor and they all have access to the entire history.  Somewhere in my notes a doctor had told us that radiation doesn't always prolong life so maybe it's just a "try and hope" sort of thing anyway.   I guess having two types of cancer just complicates things.  I'm not blaming anyone for anything – just tired, scared and confused.

                                                            LynnLuc
                                                            Participant

                                                              Are you going to one of these centers?? Melanoma is not like other cancers and seldom do the recommend Interferon these days….

                                                              Melanoma Care Centers in the United States

                                                              Below is a list of Melanoma Care Centers in the United States where you can refer your patients and access other resources to improve your practice.

                                                              Northeast
                                                              Interdisciplinary Melanoma Program
                                                              Rhode Island Hospital
                                                              Brown Medical School
                                                              Providence, Rhode Island
                                                              401-444-8852
                                                              Michael P. Vezeridis, M.D.
                                                              Martin A. Weinstock, M.D., Ph.D.
                                                              Co-Directors

                                                              Melanoma Program
                                                              Norris Cotton Cancer Center
                                                              Dartmouth Hitchcock Medical Center
                                                              Lebanon, NH
                                                              603-650-5534

                                                              Skin Oncology Program
                                                              Boston Medical Center
                                                              Boston, MA
                                                              617-638-7131
                                                              Physician in charge: Marie-France Demierre, MD

                                                              The Melanoma Program at Massachusetts General Hospital
                                                              Pigmented Lesion Clinic, Arthur J. Sober, MD, Director
                                                              Surgical Oncology, Kenneth K. Tanabe, MD, Director
                                                              Medical Oncology, Frank G. Haluska, MD, PhD, Director
                                                              Boston, MA
                                                              617-724-6082

                                                              Pigmented Lesion Clinic
                                                              Beth Israel Deaconess Medical Center
                                                              Boston, MA
                                                              617-667-3753
                                                              physician in charge: Caroline C. Kim, MD

                                                              Pediatric Pigmented Lesion Clinic
                                                              Children's Hospital Boston
                                                              Boston, MA
                                                              617-355-6117
                                                              physician in charge: Caroline C. Kim, MD

                                                              Multidisciplinary Melanoma Clinic
                                                              University of Connecticut Health Center
                                                              Farmington, CT
                                                              860-679-4600

                                                              Pigmented Lesion Clinic
                                                              Yale Dermatology Consultants
                                                              New Haven, CT
                                                              203-785-4632

                                                              Roswell Park Cancer Institute
                                                              Buffalo, NY
                                                              716-845-7614

                                                              The Tumor Vaccine Program
                                                              Albert Einstein College of Medicine
                                                              New York, NY
                                                              718-430-2000

                                                              Melanoma Disease Management Team
                                                              Memorial Sloan-Kettering Cancer Center
                                                              New York, NY
                                                              212-610-0766
                                                              http://www.mskcc.org

                                                              Pigmented Lesion Section
                                                              New York University Medical Center, Oncology Section
                                                              New York, NY
                                                              212-263-5260
                                                              http://www.med.nyu.edu/derm

                                                              Comprehensive Cancer Center
                                                              Our Lady of Mercy Medical Center
                                                              New York, NY
                                                              718-920-1100

                                                              Mohs Micrographic and Dermatologic Surgery Unit
                                                              Department of Dermatology
                                                              Weill Medical College of Cornell
                                                              New York Presbyterian Hospital
                                                              New York, NY
                                                              212-746-6538

                                                              The Melanoma and Soft Tissue Oncology Program at
                                                              The Cancer Institute of New Jersey
                                                              UMDNJ-Robert Wood Johnson Medical School
                                                              New Brunswick, NJ
                                                              732-235-6777

                                                              Melanoma and Skin Cancer Program
                                                              University of Pittsburgh Cancer Institute
                                                              Hillman Cancer Center
                                                              Pittsburgh, PA
                                                              412-692-4724

                                                              Pigmented Lesion Group
                                                              Hospital of the University of Pennsylvania
                                                              Philadelphia, PA
                                                              215-662-6926

                                                              Midwest
                                                              Multidisciplinary Melanoma Clinic
                                                              Comprehensive Cancer Center, University of Michigan
                                                              Ann Arbor, MI
                                                              734-936-6360
                                                              http://www.cancer.med.umich.edu/clinic/melclinic.htm

                                                              Pigmented Lesion Clinic
                                                              Henry Ford Hospital
                                                              Detroit, MI
                                                              313-916-4060

                                                              Multidisciplinary Melanoma Clinic
                                                              Karmanos Cancer Institute
                                                              Wayne State University
                                                              Detroit, MI
                                                              313-745-9166
                                                              1-800-Karmanos

                                                              Multidisciplinary Melanoma and Pigmented Lesion Clinic
                                                              University of Cincinnati Medical Center
                                                              Cincinnati, OH
                                                              513-584-8900

                                                              MetroHealth Medical Center
                                                              Cancer Care Center Melanoma Program
                                                              2500 MetroHealth Drive
                                                              Cleveland, Ohio 44109

                                                              (216) 778-4795 (Surgical Oncology)
                                                              (216) 778-5802 (Medical Oncology)
                                                              The Melanoma Clinic at the Cleveland Clinic Taussig Cancer Center
                                                              Cleveland, OH
                                                              http://www.clevelandclinic.org/cancer

                                                              The Melanoma Center At The James
                                                              Ohio State University
                                                              Columbus, OH
                                                              614-293-7531 (medical)
                                                              614-293-5644 (surgical)

                                                              Wagner & Associates Plastic and Reconstructive Surgery Consultants of Indiana
                                                              Indianapolis, IN
                                                              317-621-2520
                                                              317-621-2580

                                                              Interdisciplinary Melanoma Clinic
                                                              Indiana University Cancer Center, Indiana University Medical Center
                                                              Indianapolis, IN
                                                              317-278-7449

                                                              Cardinal Bernardin Cancer Center
                                                              Loyola University Chicago
                                                              Chicago, IL
                                                              708-327-2078
                                                              http://www.luhs.org

                                                              Pigmented Lesion Center
                                                              Rush University
                                                              Chicago, IL
                                                              312-563-2321
                                                              http://www.rush.edu/rumc/page-R12605.html

                                                              Melanoma and Pigmented Lesion Center
                                                              University of Minnesota
                                                              Minneapolis, MN
                                                              612-625-5199

                                                              Multidisciplinary Melanoma Group
                                                              St. Louis University Health Sciences Center/SLUCare
                                                              St. Louis, MO
                                                              314-268-5320

                                                              South
                                                              The Melanoma and Pigmented Lesion Clinic
                                                              Johns Hopkins Hospital
                                                              Baltimore, MD
                                                              410-614-1022

                                                              Melanoma Center
                                                              Washington Cancer Institute
                                                              The Washington Hospital Center
                                                              Washington, DC
                                                              202-877-2551
                                                              http://www.whc.mhg.edu

                                                              Blumenthal Cancer Center
                                                              Carolina Medical Center
                                                              Charlotte, NC
                                                              704-355-2757
                                                              http://www.carolinashealthcare.org

                                                              Dermatologic Surgery Unit, Department of Dermatology
                                                              Wake Forest University School of Medicine
                                                              Winston-Salem, NC
                                                              336-716-6276

                                                              The Melanoma Clinic/Pigmented Lesion Clinic
                                                              Duke Comprehensive Cancer Center
                                                              Durham, NC
                                                              919-684-2137

                                                              The University of North Carolina at Chapel Hill
                                                              Chapel Hill, NC 27514
                                                              Melanoma Multidisciplinary Program
                                                              Referrals/Appointments 919-966-9700

                                                              Brown Cancer Center, University Hospital at University of Louisville
                                                              Norton Cancer Center at Norton University
                                                              Louisville, KY
                                                              502-852-1897

                                                              The Dermatology Clinic
                                                              Vanderbilt University Medical Center
                                                              Nashville, TN
                                                              615-322-6485

                                                              Emory Surgery, Melanoma, and Pigmented Lesion Clinic
                                                              Emory University
                                                              Atlanta, GA
                                                              404-778-3354 (Dr Washington), 404-778-5225 (Dr Chen)

                                                              Section of Surgical Oncology
                                                              Winship Cancer Institute
                                                              Emory University
                                                              Atlanta, GA
                                                              Info: 404-778-5233

                                                              Oncology Research Program
                                                              Piedmont Hospital Research Institute
                                                              Atlanta, GA
                                                              404-605-3068
                                                              Email: [email protected]
                                                              http://www.piedmontcancercare.org

                                                              H. Lee Moffitt Cancer Center Cutaneous Oncology Clinic
                                                              Tampa, FL
                                                              813-972-8485
                                                              800-456-3434
                                                              813-972-8400 ext 1968 (new patients)
                                                              http://www.moffitt.usf.edu
                                                              Program Leader: Vernon K. Sondak, MD

                                                              Lakeland Regional Cancer Center
                                                              Cutaneous Oncology Program
                                                              Lakeland, FL
                                                              863-603-6565

                                                              The Pigmented Lesion Clinic
                                                              University of Miami School of Medicine
                                                              Miami, FL
                                                              305-243-4183

                                                              M. D. Anderson Cancer Center Orlando
                                                              1400 S. Orange Avenue
                                                              Orlando, Florida 32806
                                                              407 648-3800
                                                              800 648-3818
                                                              http://www.mdandersonorlando.org/

                                                              Melanoma Skin Center
                                                              Division of Internal Medicine, Department of Dermatology
                                                              M.D. Anderson Cancer Center
                                                              Houston, TX
                                                              713-745-1113

                                                              The Melanoma Center of North Texas
                                                              Dallas, TX
                                                              Phone: (214) 956-6802
                                                              Contact: Jody Jordan, CRA

                                                              Southwest
                                                              Cutaneous Oncology Program/Pigmented Lesion Clinic
                                                              The University of Arizona Cancer Center
                                                              Tucson, Arizona
                                                              520-694-2873 for patient appointments
                                                              http://azcc.arizona.edu/patients/clinic/skin

                                                              Lee Cranmer, MD, PhD
                                                              Evan Hersh, MD
                                                              Joanne Jeter, MD
                                                              Jim Warneke, MD
                                                              Clara Curiel, MD

                                                              West
                                                              Melanoma Multidisciplinary Clinic
                                                              Huntsman Cancer Institute
                                                              Salt Lake City, UT
                                                              801-408-3555 (referrals)

                                                              Cutaneous Oncology
                                                              University of Colorado Cancer Center
                                                              Aschutz Cancer Pavilion
                                                              Aurora, CO
                                                              720-848-0300
                                                              800-473-2288

                                                              The Melanoma Center
                                                              UCSF Clinical Cancer Center
                                                              San Francisco, CA
                                                              415-885-7546

                                                              Northern California Melanoma Center
                                                              San Francisco, California
                                                              415-353-6535
                                                              Associate Director: Robert W. Weber, MD

                                                              Pigmented Lesion and Multidisciplinary Melanoma Clinics
                                                              Stanford University Medical Center
                                                              Stanford, CA
                                                              650-725-5255
                                                              http://cancer.stanfordhospital.com

                                                              The Angeles Clinic and Research Institute
                                                              Affiliated with the John Wayne Cancer Institute
                                                              Santa Monica, CA
                                                              310-231-2178
                                                              website: http://www.theangelesclinic.org/
                                                              email: [email protected]

                                                              The Pigmented Lesion Clinic
                                                              UCLA Dermatology Center
                                                              Los Angeles, CA
                                                              310-825-6911

                                                              North Bay Melanoma Program
                                                              Sponsored by Redwood Regional Medical Group
                                                              Director: Peter B. Brett, M.D.
                                                              652 Petaluma Ave #B
                                                              Sebastopol, CA 95472
                                                              website: http://www.melanomaprogram.org/
                                                              (707) 823-8565

                                                              CHAO Family Comprehensive Cancer Center-Melanoma Clinic
                                                              University of California, Irvine Medical Center
                                                              Orange, CA
                                                              714-456-8171

                                                              Seattle Cancer Care Alliance
                                                              University of Washington
                                                              Seattle, WA
                                                              206-288-2168 (patient referrals)

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