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Subspecialty and multidisciplinary clinics


All relevant specialists see you together, to discuss treatment options and help make informed decisions about your care.

▸ Acral Melanoma

Diagnosis and treatment of melanomas of the palms, soles, and nails.

This monthly multidisciplinary clinic is lead by hand surgeon Dr David Stewart, and Dermatologists Dr Linda Martin & Dr Hsien Herbert-Chan.

A systematic approach to longitudinal melanonychia (brown nail stripes) including non-invasive diagnostic technologies and expert nail matrix surgical biopsy when required.

▸ Lentigo Maligna

Monthly multidisciplinary clinic led by Dermatologist A/Prof Pascale Guitera, with Plastic Surgeon A/Prof Jonathon Stretch, Radiation Oncologists Prof Angela Hong and Prof Gerald Fogarty, and Pathologist Richard Scolyer.

Lentigo maligna is an early form of melanoma, often occurring on the face. Lentigo maligna can be difficult to treat due to large size and microscopic involvement beyond the visible margins.

▸ High risk and extreme high risk clinics

Patients with multiple previous melanomas, dysplastic naevus syndrome (large numbers of atypical moles) and very strong family history of melanoma. Dedicated clinics with specialized staff and photography to assist early diagnosis of melanoma and minimize unnecessary benign excisions.

▸ Pregnancy – pigmented lesions and pregnancy rashes

Dr Linda Martin has a special interest in skin disease during pregnancy and lactation. She runs the biennial European training course on skin disease in pregnancy and is an active member of the Academy of Breastfeeding medicine.

Clinic includes:

  • Moles and melanoma in pregnancy.
  • Rashes in pregnancy (these can be specifically caused by pregnancy, or coincidental).
  • Itch in pregnancy.
  • Rashes in breastfeeding women.

▸ Photosensitivity

Lead by Dr Annika Smith, who completed a fellowship with the Photodermatology unit at St John’s Institute of Dermatology in London.

Ultraviolet radiation interacts with human skin in many ways, rarely leading sun allergy.

Clinic includes:

  • Primary photodermatoses (polymorphic light eruption, chronic actinic dermatitis)
  • Exogenous photodermatoses (phototoxic, hoto-allergic eruptions)
  • Autoimmune photodermatoses (lupus erythematosus and dermatomyositis
  • Metabolic photodermatoses (porphyria)

▸ Genetic skin disease and skin cancer

Non-invasive diagnostic technology, multidisciplinary collaboration and access to new medications, including Hedgehog inhibitors are integral to care of patients with genetic skin problems resulting in high rates of skin cancer.

Clinic includes:

  • Gorlin syndrome (naevoid basal cell carcinoma syndrome)
  • Xeroderma pigmentosum

▸ Chemotherapy rashes

We work closely with medical oncologists for prompt and accurate diagnosis and treatment of cutaneous complications of chemotherapy

In addition to regular multidisciplinary clinics involving dermatologists, surgeons and oncologists, we participate in the Melanoma Institute Australia weekly multidisciplinary team meetings for clinico-pathological correlation and expert concensus.