Overall, the treatment plan will depend on the type and stage of melanoma the patient has. Treatment might include: surgery, isolated limb perfusion and infusion, chemotherapy, radiation therapy, immunotherapy, or even experimental treatments.
We focus on the diagnostic and surgical aspects of the treatment plan as well as isolated Limb Perfusion and Infusion. The oncologist provides chemotherapy, radiation therapy, immunotherapy, and other ancillary care. If the patient has early-stage melanoma, they may need only surgery with no follow-up treatment.
Our faculty members offer the most current surgical procedures available to remove primary and metastatic melanoma from all parts of the body surface. Their goal is to treat melanoma while retaining the natural appearance of the affected area to the highest possible degree. Some melanomas on the skin of the head and neck can be removed with a technique called Mohs surgery. In Mohs surgery, the cancer is removed layer by layer to minimize the amount of healthy tissue that needs to be removed in order to reduce scarring or disfigurement.
In most cases where reconstruction is necessary, our faculty can perform all reconstructive surgery at the same time of the excision (removal) surgery.
Our faculty also removes cancerous lymph nodes and perform resection of the cervical, axillary, inguinal femoral, and iliac lymph node basins for metastatic melanoma. They use the most current surgical techniques, including minimally invasive (laparoscopic) surgery and robotic surgery. Robotic surgery allows for unmatched precision and requires significantly smaller incisions, which results in less pain, scarring, and recovery time for patients.
Isolated Limb Perfusion and Infusion
Patients with in transit metastases, an aggressive form of recurrent melanoma, of the arms and legs may find successful treatment with isolated limb perfusion and infusion. These patients have numerous melanoma nodules that often rapidly increase in size and quantity. Many patients with this form of melanoma can no longer undergo surgical removal of the nodules.
At Yale Plastic and Reconstructive Surgery, our faculty and team of experienced professionals work in tandem with patients and their oncologists to create a customized treatment plan.
The surgical procedures to remove these tumors are performed by means of incisions along the natural skin creases to camouflage the healing scars. On occasion, the surgical wound may be large enough to require a skin graft, or a skin flap (skin and fatty tissue) from an adjacent area, to repair the surgical wound.
These operations are commonly performed by our faculty under local anesthesia or general anesthesia in the outpatient setting. Our faculty members offer the most current surgical procedures available to remove skin cancer from all parts of the body surface. Their goal is to treat skin cancer while retaining the natural appearance of the affected area to the highest possible degree.