Melanoma

HOW IMPORTANT IS MY SKIN?

Your skin is actually the largest living organ on your body. Not only does it protect and cover all internal organs, but it also protects your body from your environment. Your skin helps control your body temperature as well as shield your body from the sun’s damaging ultraviolet (UV) rays. It even uses the sun to produce vitamin D!

HOW COMMON IS SKIN CANCER?

Melanoma is the most dangerous and threatening type of skin cancer. It accounts for more than 73,000 cases of skin cancer diagnosed last year in the U.S alone.

WHAT IS MELANOMA?

Melanoma is a skin cancer that begins in the melanocytes – the cells that make the brown skin pigment known asmelanin, which gives the skin its color. Melanin helps protect the deeper layers of the skin from the harmful effects of the sun. It is the most serious and fast spreading form of skin cancer. Early detection is key to treatment

Melanoma can start on nearly any part of the skin, even in places that are not normally exposed to the sun, such as the genital or anal areas. Though melanoma most often affects the skin (including under the nails), it can also start in other parts of the body, such as in the eyes or mouth.

Melanoma is almost always curable when it’s found in its very early stages. Although melanoma accounts for only a small percentage of skin cancers, it’s much more likely to grow and spread to other parts of the body, where it can be hard to treat. Because of this, melanoma causes most skin cancer deaths, accounting for nearly 10,000 of the more than 13,000 skin cancer deaths each year.

Am I at Risk? Those most vulnerable to developing skin cancer typically have fair skin and blue eyes. Skin cancer is also very common in individuals who have had multiple or repeated sunburns or those who have a family medical-history of skin cancer.

HOW CAN I TELL IF A MOLE IS CANCEROUS?

The first step would be a home cancer self-detection. Be aware, self-detection is not always 100% reliable, so a yearly visit to the dermatologist is highly recommended. The method used for self-detection is known as:

The ABCDE Method:

  • Asymmetry
    • Does one half of the mole or lesion look different than the other?
  • Border
    • Do the border edges of the mole appear blurred?
  • Color
    • Is there more than just a brown color to the mole? Are there signs of blue, black or red?
  • Diameter
    • Is it a large mole? Large meaning more than 1/2″ to 1″ in size.
  • Evolving
    • Does the mole change in size, shape and/or color?

HOW IS MELANOMA TREATED?

The choice of treatment is based on the tumor’s type, size, location on the body, as well as the patient’s age and general health.

Treatment is almost always offered on an outpatient basis in a in-office. A local anesthetic is used during the procedures. Pain or discomfort is minimal.

Based on the stage of the cancer and other factors, your treatment options might include:

  • Surgery – With this surgery, the doctor examines the lymph nodes near the melanoma. Whether this is done by physical exam or by imaging test (such as CT or PET scans) depending on the thickness and location of the melanoma. If the nearby lymph nodes feel abnormally hard or large, a fine needle aspiration (FNA) biopsy or excisional biopsy is used to find melanoma.
  • Immunotherapy – Immunotherapy uses medicines to stimulate a patient’s own immune system to recognize and destroy cancerous cells more effectively. There are several types of immunotherapy available to treat patients with melanoma.
    • PD-1 inhibitors: PD-1 is a protien found on immune system cells known as T cells. By blocking PD-1 with drugs such as Pembrolizumab (Keytruda) and nivolumab (Opdivo) which boost the immune response against melanoma cells, doctors are often able to shrink tumors and help people live longer. These drugs are administered by an intravenous (IV) infusion every 2 or 3 weeks.
    • CTLA-4 inhibitor: Ipilimumab (Yervoy) is another drug that helps boosts the body’s immune system response, but it has a different target. It blocks CTLA-4, another protein found on T cells. This drug is distributed throughout the body via intravenous (IV) infusion, typically once every 3 weeks for 4 treatment sessions. This drug has proven to help individuals live longer. Specifically with patients who suffer from melanomas that cannot be removed by surgery or that have spread to other parts of the body.
  • Chemotherapy – Chemo is usually only recommended for those suffering from late-stage melanoma since it is not as effective in melanoma as it is in some other types of cancer. However, it has been reported to it relieve symptoms and in some cases extend survival for some patients.
  • Palliative Radiation Therapy – This option can be used to treat melanoma that has recurred after surgery. Palliative radiation therapy is most often used to relieve symptoms caused by the spread of the melanoma – especially to the bones or brain. Radiation therapy is not expected to cure melanoma, but it may help shrink it or slow cancer growth for enough time to assist with symptom control.
  • Early-stage melanomas can often be treated effectively with surgery alone, but more advanced cancers often require other treatments. In special cases, a combination of more than one treatment is used to control melanoma symptoms.
    1. "Dr. Engelman is awesome! She is always efficient and able to address any skin concerns."

    2. Courtney K. Yelp

    1. "I have been to see most of the doctors here, and I really like this group!"

    2. Beth D. Yelp

    1. "I loved my experience here. The staff is friendly and informative."

    2. Stacie K. Yelp

    1. "Snehal P. Amin, MD could not have been better! He really listened and did not rush me."

    2. David Z. Yelp

    1. "Dr. Schadlow was great! Very knowledgeable and caring. Overall, great experience."

    2. Kalina N. Yelp

    1. "A friend referred me to MDCS. I have now been traveling all the way from CT to see them."

    2. Olivia C. Yelp

    1. "Dr. Gratch has excellent bedside manner, very personable."

    2. Desirae W. Yelp

    1. "I could tell Dr. Schadlow really wanted to help me and cared about my treatment. "

    2. Winifred A. Yelp

    1. "If you're looking for a team of skin geniuses, MDCS is your place."

    2. Erin T. Yelp

    1. "I am telling all of my friends and family they have to see Dr. Gratch!"

    2. Toni T. Google

    1. "Dr. Amin is wonderful and I have recommended him to all of my family and friends."

    2. Nicole B. Google

About Medical Dermatology & Cosmetic Surgery

In 2002 renowned board certified dermatologic surgeon Dr. Snehal Amin and leading board certified dermatologist Dr. Noah Gratch, teamed up to found Medical Dermatology & Cosmetic Surgery (MDCS) (Formerly - Manhattan Dermatology & Cosmetic Surgery), which has since become among the best known and most respected practices for both medical and cosmetic skin care in the country. Located in Hampton Bays, Commack, Smithtown, Plainview and Manhattan, NY, the practice offers patients the most advanced skin treatments, utilizing the latest, state-of-the-art equipment available.

The two have assembled a blue-chip staff of dermatologists, plastic surgeons and estheticians who provide New York City and Long Island patients with expert care for all skin issues. This ranges from skillfully treating skin cancer with the technically sophisticated Mohs surgery to creating and executing customized skin rejuvenation programs.

The practice brings together a roster of top-rated physicians and surgeons from the most prestigious medical institutions in the country.

In addition to amassing a loyal clientele, MDCS’s physicians are frequently sought out by the media for their expertise on skin issues and treatment. Physician’s at the practice have also published numerous scientific papers of their latest discoveries and advancements. 

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In 2002 renowned board certified dermatologic surgeon Dr. Snehal Amin and leading board certified dermatologist Dr. Noah Gratch, teamed up to found Medical Dermatology & Cosmetic Surgery (MDCS) (Formerly - Manhattan Dermatology & Cosmetic Surgery), which has since become among the best known and most respected practices for both medical and cosmetic skin care in the country. Located in Hampton Bays, Commack, Smithtown, Plainview and Manhattan, NY, the practice offers patients the most advanced skin treatments, utilizing the latest, state-of-the-art equipment available.

The two have assembled a blue-chip staff of dermatologists, plastic surgeons and estheticians who provide New York City and Long Island patients with expert care for all skin issues. This ranges from skillfully treating skin cancer with the technically sophisticated Mohs surgery to creating and executing customized skin rejuvenation programs.

The practice brings together a roster of top-rated physicians and surgeons from the most prestigious medical institutions in the country.

In addition to amassing a loyal clientele, MDCS’s physicians are frequently sought out by the media for their expertise on skin issues and treatment. Physician’s at the practice have also published numerous scientific papers of their latest discoveries and advancements. 


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Services We Offer and Conditions We Treat

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A wide variety of insurances are accepted to cover the cost of consultations and treatments. If you have any questions regarding whether your insurance plan is accepted and coverage, please feel free to contact our office.

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Testimonials

Words from our patients

  • Yelp

    "Very nice and professional doctors, they are very easy to talk to and their staff is always professional and really polite. I highly recommend them!!"

    Laith O.
  • Yelp

    "I've only been coming here for a month, but I love how contemporary the offices are--the electronic check-in and co-pay pre-payment system is awesome."

    Alexis T.
  • Yelp

    "Dr. Amin is a superb dermatologist at a superb practice. He once got me in on very short notice for a complicated procedure, and I left feeling like he really cared."

    John H.
  • Yelp

    "I have been to see most of the doctors here, and I really like this group! They are knowledgeable and truly care about my issues."

    Beth D.
  • Yelp

    "This is a welcome change with today's healthcare environment in which Physicians have to see more patients and spend less time with their patients."

    David Z.
  • Yelp

    "I have a lot of moles, and have seen a lot of dermatologists. Dr. Gratch stands out as being very thorough, pleasant, and efficient. Office staff is also cool. "

    Derek F.
  • Vitals

    "Dr. Amin did a great job reassuring me and made me feel very comfortable. He is very knowledgeable, skilled, and patient. He spent a lot of time with me."

    Di.
  • Vitals

    "Anticipate patient's needs. I am surprised that there are such few great doctors like Dr. Gratch out there. I recommend Dr. Gratch for anyone with a skin issue."

    S.P.
  • Vitals

    "I really enjoyed my time with Dr. Engelman. She is bright, kind, and capable. She knew my diagnosis right away, but didn't rush me out of her office."

    Verified Patient
  • Vitals

    "Dr. Schadlow is bright, caring, efficient and knowledgeable. She's got great bedside manner and helped clear up my concerns. Her staff was excellent too."

    Verified Patient
  • RateMDs

    "He and his associates are top notch; young, knowledgeable and caring. They respond clearly to all questions and do not rush the visit. Great all around service."

    Verified Patient
  • RateMDs

    "He is also the best cosmetic surgeon I have had for repairing the skin cancer sites...He said his work is "guaranteed for life."...he saved my face if not my life."

    Verified Patient
  • Yelp

    "I have been treated by most of the doctors for my most basic skin care needs to the more elective procedures. I am confident that I am receiving the very best skin care"

    Olivia C.
  • Yelp

    "I've been a patient of both Dr. Schadlow for a few several dermatological procedures, and then Dr. Amin for mohs surgery. I found them both extremely professional."

    Karen M.
  • Yelp

    "I've been to quite a few specialists and Dr. Gratch REALLY knows what he's talking about. Moreover, the office itself is a model of efficiency."

    Verified Patient
  • Yelp

    "The service was quick and effective. I already booked an appointment for my husband and will make sure to share with all my friends."

    Millie K.
  • Yelp

    "I love this place. I have acne problem skin and Tamila Deveny has been helping me with my treatment. I have seen a lot of progress in my skin thanks to her."

    Deniz S.
  • Yelp

    "Dr. Amin was efficient, explained what he was doing and why, and gave me clear instructions on how to care for my skin over the long term to prevent breakouts."

    Priya C.
  • Yelp

    "I also really like this office, the staff are really nice and professional, I did not have to wait long, and their prices are comparable to others in the city."

    Khrystyna C.
  • Yelp

    "The doctors assistant was very friendly as well. Dr. Schadlow was great! Very knowledgeable and caring. Overall, great experience. I was in and out in about 25 minutes."

    Kalina N.

 


Doctors warn against using home remedies to treat
skin cancer.

VIEW VIDEO HERE

 

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