High-Risk Skin Cancer

The high-risk skin cancer clinic is a specialty care clinic designed for patients at higher risk of developing skin cancers.

We provide treatment to patients who are:

  • Candidates for an organ or bone marrow transplant, or have received a transplant
  • Diagnosed with chronic lymphocytic leukemia (CLL) or Lymphoma
  • Diagnosed with four or more skin cancers within the past 12 months
  • On long-term medications that suppress the immune system
  • Predisposed to a genetic disorder that increases their risk of skin cancer

We provide the following services:

  • Electrodessication and curettage
  • Intralesional chemotherapy for non-melanoma skin cancer
  • Mohs surgery
  • Photodynamic therapy
  • Topical 5 fluorouracil field therapy treatments to reduce pre-skin cancers including chemowraps
  • Wide local excision

What to expect from your appointment

We examine your skin and review of your health history. We also check for immunosuppressive medications, and prior sun exposure and skin cancer history. We address any suspected skin cancers. Then, based on the information, we create a tailored plan for you.

We treat current skin cancers by the least invasive methods, such as:

  • Electrodessication and curettage (ED&C)
  • Intralesional chemotherapy
  • Surgical excision or treatment by Mohs surgery

We discuss ways to reduce other skin cancer, including:

  • Sun protective measures
  • Use of field therapy (5-fluorouracil, photodynamic therapy, etc.)
  • Prophylactic oral treatments (acitretin and nicotinamide)

We then plan for follow-up appointments for regular skin examinations.

Appointments and referrals

To make an appointment, contact us at Lebanon Dermatology - Heater Road and ask for the high-risk skin cancer clinic.

We typically schedule appointments on the 2nd and 4th Thursdays of the month.

High-Risk Skin Cancer providers

Our team consults with the Norris Cotton Cancer Care Pavilion Lebanon Tumor Board, medical oncology, surgical oncology, otolaryngology (ENT), and transplant medicine.

Joi B. Carter, MD


I focus my dermatology practice on skin cancer. In particular, I see patients with rare lymphomas of the skin (cutaneous T cell lymphoma or cutaneous B cell lymphoma) and patients who are… Read more

Areas of focus

  • Cutaneous T-cell lymphoma
  • Cutaneous B-cell lymphoma
  • High risk skin cancer
  • Cutaneous oncology
  • And 1 more areas of focus


  • Lebanon

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Matthew R. LeBoeuf, MD, PhD


A positive patient experience is critical for the successful treatment of skin cancer. I am committed to providing each patient with the most comfortable experience, minimizing stress tha… Read more

Areas of focus

  • Mohs micrographic surgery
  • Reconstructive surgery from Mohs defects
  • Dermatologic oncology
  • Transplant skin cancer
  • And 2 more areas of focus


  • Lebanon

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