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Anne Arundel Dermatology
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SKIN CANCER · TREATMENT

Topical Chemotherapy

Topical chemotherapy uses prescription-strength creams applied directly to the skin to eliminate precancerous cells and certain superficial skin cancers at the surface level. It’s a clinically proven, dermatologist-guided approach that most patients complete at home over the course of several weeks.

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Skin Cancer - Topical Chemo

What Is Topical Chemotherapy?

When most people hear "chemotherapy," they think of infusions given in an oncology clinic, a very different experience from what is described here. Topical chemotherapy, as used in dermatology, refers to prescription creams applied directly to the surface of the skin to destroy precancerous or cancerous cells locally. There are no IV lines, no hospital visits, and no systemic side effects associated with traditional cancer chemotherapy.

The most commonly prescribed topical chemotherapy agents in dermatology are 5-fluorouracil (5-FU), available under brand names including Efudex and Carac, and imiquimod (Aldara and Zyclara). Both work by interfering with the growth of abnormal cells at the skin's surface. 5-FU blocks the cellular processes that allow abnormal cells to replicate. Imiquimod works differently, stimulating the immune system to recognize and attack abnormal tissue.

Your dermatologist will prescribe the appropriate medication, concentration, and application schedule based on your specific diagnosis and the area being treated. The treatment course typically spans several weeks and is managed at home, with follow-up visits to monitor your response and confirm resolution.

Who’s a Good Candidate?
Topical chemotherapy is best suited for patients with surface-level abnormal skin cell growth across a defined treatment area.
Your dermatologist may recommend it if you have:
Multiple actinic keratoses
Superficial basal cell carcinoma in an area appropriate for non-surgical treatment
Squamous cell carcinoma in situ (Bowen's disease) confined to the outer skin layers
A treatment area with widespread field damage
A preference or clinical suitability for a non-procedural treatment approach over in-office destruction or surgery
Topical chemotherapy is not appropriate for deeper, invasive, or high-risk skin cancers, or for lesions that require tissue removal and pathologic margin confirmation.
What Results Can I Expect?
For the right candidates, topical chemotherapy is highly effective at eliminating precancerous lesions and superficial skin cancers across a treatment area. One important advantage over spot treatments like cryosurgery is that topical agents can treat both visible lesions and subclinical abnormal cells in the surrounding field.
The treatment process involves a visible inflammatory skin reaction that can be significant. This response is expected and is a sign that the medication is working.
Your provider will prepare you for what this looks like and help you manage any discomfort during the course of treatment. Most patients complete healing within eight to twelve weeks of finishing the application period.
THE DAY OF YOUR PROCEDURE

What to Expect With Topical Chemotherapy?

Unlike in-office procedures, topical chemotherapy is a multi-week treatment managed primarily at home. Here is how the process works from your first consultation through the end of your treatment course.

1

Consultation and Diagnosis

Your dermatologist examines the area of concern, confirms your diagnosis, and determines whether topical chemotherapy is appropriate. They will select the right medication, most commonly 5-fluorouracil or imiquimod, and establish your application schedule, treatment area, and duration.
2

Prescription and Instructions

Before you leave, your provider walks you through how to apply the medication, how often, and for how long. You will receive clear guidance on what to expect during treatment, including the skin reaction that is a normal and expected part of the process, and what to watch for that would warrant a call to the office.
3

At-Home Application

You apply the prescribed cream to the treatment area at home according to your provider's instructions. The frequency and duration vary by medication and diagnosis. 5-FU is typically applied once or twice daily for two to four weeks; imiquimod regimens vary and may extend over several weeks. Wash hands thoroughly after each application.
4

Inflammatory Response

As treatment progresses, the treated area will become red, inflamed, and may crust, blister, or feel raw. This reaction is expected and indicates the medication is working. Your provider will advise you on how to manage discomfort and protect the skin during this phase.
5

Follow-Up Monitoring

Your dermatologist will schedule one or more follow-up visits to assess your response to treatment, address any concerns about the skin reaction, and confirm that the treatment is progressing as expected.
6

End of Treatment and Healing

Once the application course is complete, the inflammatory response gradually subsides and the skin heals. Your provider will evaluate the treated area to confirm resolution and determine whether any additional treatment or ongoing monitoring is needed.

What to Expect During and After Your Treatment Course

Topical chemotherapy does not follow a single-day recovery arc; it unfolds over weeks, with the most visible skin reaction occurring mid-treatment before healing begins. The timeline below reflects the general course of a standard treatment regimen. Your provider will give you a specific schedule based on your diagnosis and the medication prescribed.

Recovery At A Glance

Week 1-2
You begin applying the prescribed cream at home as directed. The skin may look normal at first. Mild redness or tingling in the treated area is common as the medication begins to work.
Weeks 2-4
The inflammatory response intensifies. Treated areas typically become red, swollen, and may blister, crust, or feel raw. This reaction is expected and indicates the medication is targeting abnormal cells.
Weeks 4-6
Application is typically complete. The skin begins to heal. Redness, crusting, and irritation gradually subside as treated areas start to clear. Your provider may schedule a check-in during this phase.
Weeks 6-12
Most patients see full healing by eight to twelve weeks after completing the course. Your provider will evaluate the treated area to confirm resolution and discuss any follow-up care or monitoring needed.22
WHY CHOOSE US?

Nationally Recognized Leaders in Skin Cancer Care

budget

Guidance That Extends Beyond the Office Visit

Topical chemotherapy is a take-home treatment, but you are never on your own. Our providers set clear expectations before you begin, are available to address concerns that come up during your treatment course, and schedule follow-up visits to confirm your skin is responding as it should.
hand

The Full Spectrum of Skin Cancer Treatment in One Network

If your precancerous lesions are better addressed with cryosurgery, photodynamic therapy, or a surgical approach, your provider will tell you so, with care available within our network. You won’t have to start over with a new provider who does not know your history.
personalized

Dermatologists Who Treat the Whole Picture

Sun damage rarely shows up as a single spot. Our dermatologists are trained to assess the full extent of field damage and develop a treatment plan that addresses both what you can see and what may not yet be visible.

What Patients Are Saying

Albany C.

Google
9/2/25

Great doctor, very nice to my son who is 9 years old , she is so perfectional

Earl R.

Google
8/7/26

Great staff and experience, highly recommend.

Caroline C.

Google
7/16/25

The front staff were very friendly and welcoming. Tamara Cheater answered all my questions, was to the point and got me in and out quickly (which I like).

Richard B.

Google
8/7/26

Very thorough and very fast, amazing!

Judith S.

Google
5/18/24

Dr. Jaffe was wonderful. He carefully listened to my concerns and was understanding and kind. I did not feel rushed and felt that I was in very competent hands.

Lori S.

Google
7/22/25

Surgeon was super friendly and positive in nature. Felt comfortable with my procedure and return visit...very small scar

Perihan W.

Google
8/18/26

I love my provider! I love the tech I had too! They are both awesome with a GREAT bedside manner! Thank you for all y'all do! The wait time is great too! Front staff great too!

Peggy B.

Google
5/23/25

Friendly, clean and knowledgeable

David G.

Google
6/24/26

Here’s a revised version: I had an excellent experience at Academic Alliance in Dermatology West Largo. I was there today to have my second squamous cell carcinoma removed from my scalp, as well as another one removed from my leg. The building is brand new, exceptionally clean, and very welcoming. Everyone on the staff was professional, friendly, and genuinely caring from the moment I arrived. The doctors and staff took the time to answer my questions, explain the procedures, and make me feel comfortable throughout my visit. Their attention to detail and commitment to patient care were outstanding. I highly recommend Academic Alliance in Dermatology West Largo to anyone looking for high-quality dermatology care. Thank you to the entire team for making what could have been a stressful day such a positive experience.

Linda H.

Google
8/6/25

Dr Harvey and his staff are an excellent choice for skin care. He and his staff are always welcoming with their knowledgeable, friendly, and professional manner. The office is clean and comfortable and the building offers ample parking with handicapped spaces close to the entry, which is covered for easy drop off should there be rain. I wouldn’t want to go any where else.

Linda D.

Google
9/19/26

The staff is very professional, kind, helpful and considerate. No matter when you call, if you have to leave a message, they get back to quickly. And most importantly. they listen to you.

mayra r.

Google
7/30/26

Our family has always had a great experience with Dr.Frank Navarro and his team. The front staff ladies are always welcoming and friendly❤️ I highly recommend to anyone looking for a Dermatologist in the area. I rate beyond 5 stars🌟

Greg C.

Google
7/9/26

Dr. Curtin was excellent as always. Entire staff is exceptional.

Saundra H.

Google
5/2/26

Dermatology and skin cancer center has been. terrific, I was so unhappy with my hair loss until I started coming and getting treatment, I feel so much better now that I am seeing progress for my hair loss. Thank you Amanda Alexander

KayMichelle

Google
7/29/26

I had an excellent experience with Sharnel Reed, Nurse Practitioner. She was knowledgeable, professional, and took the time to listen to my concerns in regards to my sons acne before creating a personalized acne treatment plan. She explained everything clearly and made me and my son feel comfortable throughout the entire process. My sons skin has improved so much, and he is finally feel confident again. Her genuine care and attention to detail made all the difference. I highly recommend Sharnel Reed to anyone looking for dermatology care and compassionate, high-quality care! The front office staff is great as well as the nurses who triage you. I highly recommend this office.

MATT A.

Google
5/8/26

10/10 experience. In and out as usual.

Al Adams

Google
9/15/26

Well run practice with good follow-up. My clinician, Ashley was extremely thorough and kept me a A prize of the process during the exam. Extremely satisfied..

Lou W.

Google
6/29/26

Very prompt & explanations by Doctors were easy to understand

Carmen M.

Google
8/20/26

Excelente servicio. La Dra Brianna muy buena, me examino y explicó todo con claridad. Anna, muy linda y amable

MettaYetta

Google
9/7/26

Amazing

MettaYetta

Google
8/8/23

I was treated very well by the staff.

MettaYetta

Our Website
9/18/25

The treatment was incredible. The doctor listened to me patiently and was very clear in his explanations and treatment recommendations.I arrived a few minutes late, and I have to thank them for taking care of me despite this. The receptionists were very friendly. I recommend it.

MettaYetta

Google
7/3/24

I have been a patient at the Fairfax location for many years. Each visit the staff have been courteous and warm towards me. They are all highly efficient and competent. I couldn’t ask for a better team to take care of me. Most importantly my doc, Dr Jonathan Smith is friendly and highly skilled. I know I’m under the best of care.

MettaYetta

Google
6/2/26

Friendly efficient, knowledgeable staff. Only downside is there is no sign for dermatology Associates outside of the building so leave a few minutes earlier so you can find it.

MettaYetta

Google
6/23/26

Fantastic she knew exactly what was wrong with me she was straight up very, very honest. I’ll be back in three months.

MettaYetta

Google
8/10/26

Dr. Gabby and Joanna were fantastic! Upbeat, friendly and professional. Front desk also so helpful and inviting. Great all around experience!

MettaYetta

Google
1/9/26

I appreciate that it was very easy to get an appointment, and I was seen within days after I called. The office is clean and the front desk staff was helpful. PA Somil Mehta was very pleasant and attentive to my concern, and the interactions I had with the others working there were pleasant and professional as well. I was happy with my experience there.

MettaYetta

Google
1/22/25

Today was my second time in this place (first time 2018) both times I was very happy !! Very very nice people and professional !!! :)

MettaYetta

Google
3/10/26

I had a wonderful experience with Danielle Johnson, PA-C at Virginia Dermatology. Scheduling an appointment through the patient portal was very easy and was able to be seen within a few weeks. I was pleasantly surprised when the office even called to offer me an earlier appointment. When I arrived, check-in was quick and I had hardly any wait time. I only waited a few minutes before Danielle came into the room. She quickly diagnosed the spot on my forearm that had been bothering and concerning me, and she also took the time to look at a few other areas I was worried about. What impressed me most was that she was able to remove the spot right then and there during the same visit, which I truly appreciated. Danielle was compassionate, friendly, and has an excellent bedside manner. She made me feel comfortable throughout the entire appointment and provided very clear aftercare instructions before I left. I highly recommend Danielle Johnson, PA-C to anyone looking for knowledgeable, efficient, and genuinely caring dermatology care.

MettaYetta

Google
7/21/26

Dr. Bermuedz is wonderful. Very personable, and knowledgeable in his field of dermatology. I met him today and he biopsied a place on my face. I couldn't have had a better experience with the great staff. They are the greatest.

MettaYetta

Google
9/22/26

Dr Christina Clark is very knowledgeable, personable and friendly. Her staff is as well. I was able to get an appointment within a few days.

MettaYetta

Google
8/6/26

great place

MettaYetta

Google
4/30/26

First visit after switching dermatologist and I felt like a patient vs. a number that they could just ding my insurance. They were awesome

MettaYetta

Google
6/2/26

Staff is top notch! Dr. Helen has a great personality and put me right at ease…she is skilled which minimized the length of wound. Shannon was wonderful in explaining every step of procedure and follow up care. Hope I never have to see them again but if I do, I will know I’m in good hands.

MettaYetta

Google
12/7/23

I'm thrilled to share my exceptional experiences at Meridiem DermSpa, where the entire team—Brittany, Codi, Leslie, and Rachel—has created a haven of beauty and relaxation. From the moment you step through the door, Rachel sets the tone for a positive experience. Her warm greetings and efficiency make the entire check-in and check-out process seamless. It's evident that she takes pride in creating a friendly and inviting atmosphere, ensuring that every client feels valued and at ease. Leslie and Codi are truly a dynamic duo. Each visit is a testament to their expertise and dedication to their craft. They don't just provide aesthetic services; they create personalized experiences that leave you feeling pampered and rejuvenated. Their attention to detail is impeccable, and their passion for skincare shines through in every treatment. What sets Meridiem DermSpa apart is the synergy of its team. Everyone works together seamlessly to ensure a holistic and enjoyable experience. It's this teamwork that makes each visit exceptional. The atmosphere is not just about aesthetics; it's about creating a sanctuary where clients can unwind and leave feeling their best. I highly recommend Codi and Leslie, along with the entire Knoxville team, to anyone in search of a top-tier aesthetic experience. Meridiem DermSpa has created a winning combination of skill, warmth, and professionalism, making every visit a true delight.

MettaYetta

Google
5/28/26

Really nice experience with the fun staff the clinicians and will definitely return to Anne Arundel dermatology for my needs in the future.

MettaYetta

Google
4/30/26

Everything was great

MettaYetta

Google
10/16/25

Great staff and excellent service!

MettaYetta

Google
4/25/24

I trust Charu Jain as my nurse practitioner for dermatology services. I can’t recommend her highly enough.

MettaYetta

Google
7/17/26

Very professional and caring

MettaYetta

Google
10/8/26

Dr. Alonna and her staff were very welcoming and kind. I had a great experience!!

MettaYetta

Google
5/28/26

I have seen Dr. Kang for over 5 years and have yet to have a bad experience. He is very personable and has kept me in great shape. I highly recommend him to anyone who cares about their skin. Very professional. The office is very clean and all the administration and help are above grade. I would not consider anyone else.

MettaYetta

Google
11/13/25

All the staff are great 👍🏻..

MettaYetta

Google
9/21/26

The office in Hudson, Florida is very comfortable. The dermatologist, Kirsty is friendly and personable. She never rushes me, and I think she’s sweet

MettaYetta

Google
6/4/25

Dr. Jones was excellent, he addressed my concerns and made me feel comfortable.

MettaYetta

Google
5/7/26

Debbie always professional and personable.

MettaYetta

Google
8/15/23

Great group. Very friendly and very informative about the process

MettaYetta

Google
8/19/26

Fantastic Staff, caring Doctors and actually timely. I was seen for my 8:30 appointment at 8:30.

MettaYetta

Google
1/22/26

Very positive experience. Walked into a crowded reception room and expected a long wait, but it only took a few minutes for me to see the doctor. Very efficiently run practice and I was treated with great care.

MettaYetta

Google
9/26/26

Atlantic Dermatology is always efficient, professional and accommodating.

MettaYetta

Google
7/21/26

Overall great experience. The service they use to book appointments and acquire documents online works fast and smoothly. Front desk was warm and welcoming. I waited about ten minutes which was no big deal. The physician quickly assessed my concerns and made sure I understood her explanation/diagnosis. I booked another appointment as a follow up and was on my way. My only suggestion would be maybe some light music playing in the waiting room. A little too quiet in there:) They offer a wide variety of services and this review was only for a skin cancer check.

MettaYetta

Google
2/9/26

Dr K and Lillian were amazing! They were on time, gave me good practical advice and were kind and personable. See you next time!

MettaYetta

Google
4/1/25

Was my first time in the office..very nervous and anxious about it but was worth it..walked away happy ;) thank you

MettaYetta

Google
11/20/25

I have been suffering for psoriasis for decades went one time and writhing a month had the perfect prescription and my psoriasis is now contained and I have never felt more excited about my journey. Staff is amazing and I’m completely satisfied

MettaYetta

Google
2/18/20

Great service with wonderful results will continue to support this provider Patricia Hood.Thank You very much Danny Barnhill

MettaYetta

Google
8/26/26

Great treatment and assessment

MettaYetta

Google
8/26/26

Cannot recommend Dr.becker enough! he was so kind and helpful with my small child’s skin condition. The visits were fast and efficient. the nurses and receptionist are so polite as well. i never waited more than 5 minutes in the lobby. He even called to check on how she was doing after her procedure. thank you so much !

MettaYetta

Google
8/28/25

All the doctors, nurses and receptionists are very friendly and caring. Dr. Callaway and Ken Johnson explain what they’re doing and let you know what to expect. The outcomes have always been great.

MettaYetta

Google
6/18/26

Very professional team I love it here they always make me feel welcomed🌺🌺🌺🌺🌺🌺❤️❤️❤️❤️❤️💕💕💕💕💕💕💕💕

MettaYetta

Google
9/23/26

Very pleased with the clinic and the staff!

MettaYetta

Google
6/12/25

Highly recommend Dr Dhar. He is caring and finds everything!!!

MettaYetta

Google
6/7/24

Comfortable and professional experience and the staff took the time to answer all my questions.

MettaYetta

Google
11/25/25

Angie is a gem! Whoever brought her on board, kudos to you.👏🏾My 2 teenage daughters have been patients here for a few years and on each & every visit, she is always so sweet, kind, relatable and welcoming. That really goes a long way. ❤️

MettaYetta

Google
8/6/24

Friendly personnel. Fast service.

MettaYetta

Google
9/28/26

Dr. Lam & Morgan take amazing care of me! They're the best there is as far as I'm concerned. All the staff are great!!

MettaYetta

Google
10/14/26

I have an autoimmune skin disease (EBA) that is difficult to treat. Dr. Miller has been exceptional and listens to me.

MettaYetta

Google
2/10/26

I love the staff and my provider Anjana Patel! Everyone is very welcoming and friendly!

MettaYetta

Google
5/7/25

I saw Alexandra Yatros today for a follow-up visit and had a great experience per usual. she is very kind and takes the time to really listen and explain everything in a way that is easy to understand. very thorough and thoughtful. highly recommend!

MettaYetta

Google
2/3/23

Very pleasant office with friendly and professional staff. On time with the appointment and conscientious treatment.

MettaYetta

Google
7/15/26

They are kind when you arrive, punctual in the time of attending, attentive, empathetic which is very important I had also seen other Dermatologists but no one had helped me Dr. Maben is the only one who has helped me even they help you with the approval of your medications thanks to them my confidence, safety has improved because my skin has improved too much and my eczema already lets me sleep and I was able to leave the house with confidence and security again and by the way I have been with the Doctor for almost 1 year waiting for the review

MettaYetta

Google
6/15/26

Great improvements here with calling, scheduling, location. The staff here are very nice. Jen the PA is knowledgeable nice and friendly.

MettaYetta

Google
10/2/26

Dermatology Associates are great! Efficient, friendly, and professional.

MettaYetta

Google
6/19/25

My experience with this dermatology clinic was excellent. The doctor and staff were professional in their care and provided friendly customer service.

MettaYetta

Google
10/18/26

I've been coming here for many years. Iam very thankful for Nicole and her crew to answer any and all questions I have.

MettaYetta

Google
8/25/26

Staff & doctor are all super friendly. The doctor fixed a issue I had for years after going to 5 other dermatologists that said it can’t be cleared up.

MettaYetta

Google
2/24/26

I was nervous due to the nature of my visit, but all said and done, I’m super satisfied! I will absolutely be back if I need to see a dermatologist in the future and I’d highly recommend this place to anyone that might need to see one. Very nice staff made the whole thing a pleasure.

MettaYetta

Google
12/11/19

I was super happy with my AA Dermatology Surgery Center experience. They were able to squeeze me in immediately when I noticed something scary that was growing on my face. Dr. Montemarano was professional, thorough and very pleasant. Great friendly staff, both on the phone and in the office. Could not ask for more.

MettaYetta

Google
2/2/26

The staff here is genuinely kind, calm, and caring. A very pleasant environment. They took the time to provide adequate patient education, answer questions, and address concerns.

MettaYetta

Google
6/17/25

Dr. Prussick & Dr. Yan are excellent dermatologists ! The office is very clean and organized and professional... & the staff are excellent. Your skin is the largest organ on your body. You need to care for it. I highly recommend Washington Dermatology !

MettaYetta

Google
3/25/26

Dr. Ismail is hands down the kindest and most compassionate doctors I’ve ever met. She was a real person and not just scribbling away and trying to get me out the door. I’m very grateful for a positive experience and hope other doctors are as kind as she is!

MettaYetta

Google
12/18/25

My visit with Kasen was wonderful! So relaxing and my skin looks great!

MettaYetta

Google
6/23/25

My husband and I Dr O’Neil ‘s patient and we are very pleased with his care as well as all his staff In his medical office .

MettaYetta

Google
6/4/26

Always friendly and very little to no wait time.

MettaYetta

Google
4/4/25

As usual, the office visit went well and quickly. I travel a long distance to visit this office and it is worth it.

MettaYetta

Google
9/15/25

“V” addressed my concerns with professionalism and a sense of care for me as her patient.

MettaYetta

Google
12/1/22

Extremely professional. Trina is always patiently informative whenever I have questions. She has completely gained my trust. I would recommend her to everyone!

MettaYetta

Google
6/26/25

This is my 3rd visit. From the time I enter the office until I leave...the whole staff is very friendly, welcoming, pleasant and professional. Thank you!

MettaYetta

Google
7/25/24

Great ease in making appointment. Professional and personable office staff. Dr. Niebyl is knowledgable and cares about his patients.

MettaYetta

Google
8/13/24

No wait time. Staff are very friendly and very helpful. Doctors are very thorough and answered all of our questions and concerns.

MettaYetta

Google
9/8/26

The Best!!!I highly recommend!!

MettaYetta

Google
10/6/26

I’ve been Dr. Smith’s patient for a year and a half, and I’m very happy with his care. He is a skilled, experienced, and kind doctor. I’m truly grateful for his care and support, and I feel fortunate to be his patient. I highly recommend him!

MettaYetta

Google
10/6/25

Dr Douchy and staff are the BEST!

MettaYetta

Google
7/8/25

Always a quick and pleasant visit.

MettaYetta

Google
7/1/26

Super and very welcoming, I found the entire staff to be professional and well organized. I’m thankful that this high level of quality care is available. Thank you!

MettaYetta

Google
9/21/26

Awesome doctor and staff! I wouldn't go anywhere else... thank you!

MettaYetta

Google
6/26/20

It's great to have dermatology services here in Burgaw. Patricia Hood made me feel at ease and confident in her care. I would recommend Atlantic Dermatology's Burgaw office to anyone needing their services.

MettaYetta

Google
3/9/26

Staff is always friendly and professional. I also get seen most of the time before my appointment but never longer than 5-10 minutes afterwards.

MettaYetta

Google
9/26/25

Just had an excellent experience as a first time patient in for a surgical procedure. Everything was explained thoroughly. The staff was friendly and professional. It was all over before I knew it!

MettaYetta

Google
7/24/26

I had a wonderful experience. I would highly recommend them!

MettaYetta

Google
4/6/26

Thank you N Atlanta Derm.! We are so grateful for fitting us in and helping us!

MettaYetta

Google
9/1/26

Doctors and staff are welcoming, professional and always so nice to deal with. Always helpful on any concerns and they listen to whatever you ask them and provide very helpful guidance.

MettaYetta

Google
8/27/25

Henry Yan, PA-C Is extremely patient, polite and explains things in a friendly manner. The office staff is also very polite and accommodating.

MettaYetta

Google
9/23/26

Dr. Morgan is so kind and helpful! She really listens to you and explains things very well. Front staff and assistant are always welcoming and helpful.

MettaYetta

Google
8/13/26

Very friendly staff including Dr. Briley. It was easy to make an appointment for a time I could come in and my weight time was less than 10 minutes. I definitely recommend this office.

MettaYetta

Google
8/23/23

Dr. Montemarano explained my treatment options very thoroughly and took his time with me, something not found in most medical experiences that I have had lately. The nurse who took my information was also very kind. My experience was great!

MettaYetta

Google
7/30/25

Nice people and kind everyone is very nice there that’s all I can say Thank you so very much.

MettaYetta

Google
8/24/26

Great quality of care and a very helpful and thoughtful staff.

MettaYetta

Google
5/11/26

Amazing overall

MettaYetta

Google
6/30/26

Always polite and efficient!

MettaYetta

Google
6/30/26

Anne Arundel Dermatology is the best of the best. Punctual. Your appointment happens at the time you scheduled it for. Love my doctor, Dr. Sammy Kang.

MettaYetta

Google
7/1/25

Love this practice. Everyone very nice an professional. Love the Doctors.

MettaYetta

Google
7/14/26

Megan Miller is an excellent provider and has truly helped me with all my skin concerns. I look and feel great thanks to her expertise.

MettaYetta

Google
5/14/26

Going to a Doctor that’s going to tell you if you have or don’t have skin cancer is very stressful. Atlantic Dermatology was absolutely amazing. I felt very comfortable and treated with the care I was looking for.

MettaYetta

Google
4/7/23

I have used Medi spa for many years for beauty treatments and products. The results are always perfect and the ladies are all terrific . Brittany, Trina , Dan , Cody have all taken care of me over the years and I highly recommend all of them . I have not seen the other providers but think they are top notch as well. Rhonda and Rachel are perfect with customer care ! I give a 10 out of 10 !

MettaYetta

Google
2/27/26

“I can’t say enough good things about Lina Weber! From the moment I walked into her office, I felt welcomed and at ease. Lina took the time to listen to all my concerns, explained every step of my treatment plan with clarity, and I saw visible improvements after just a few visits. The entire staff is friendly, and the clinic is spotless and modern. I highly recommend Lina Weber to anyone looking for top-notch dermatologic care!”

MettaYetta

Our Website
6/3/26

Laren and her staff are wonderful—warm, welcoming, and very laid back, which immediately puts you at ease. I came in for a three-month follow-up and also brought up a new concern. They didn’t hesitate for a moment to address it and made sure all my needs were taken care of. Laren is both professional and down-to-earth. Her relaxed approach makes the visit feel more like catching up with someone who truly cares rather than a typical doctor’s appointment—which I really appreciate. Highly recommend!

MettaYetta

Google
10/6/26

I was made to feel comfortable by admissions and treated very kindly with respect during the biopsy.. Made an appointment and returned a few weeks later, again the people were very kind and courteous, did not have to wait very long and having the carcinoma which was worrisome...they made me feel very comfortable and we talked during the procedure to remove the cancer.. Highest praise to some wonderful people at Anne Arundel Dermatology in Eldersburg..

MettaYetta

Google
11/18/25

Extremely professional and kind in every respect. Send everyone there!

MettaYetta

Google
7/3/26

Great people -- from super kind front desk staff, to medical assistants and para professionals, to Mariella Purvis, PA-C, who is a gem. 💎 5 stars! Ding: Parking is confusing and atrocious, with poor signage and a multi level garage behind the building that doesn't align and attach to the building unless you enter the magic entrance in a dank, creepy stairwell. So plan to arrive 1 hour early and you just might make it in time. 👤😵‍💫

MettaYetta

Google
5/13/26

Gabby was very thorough doing her exam. Told me everything she found and explained to me the next step in my treatment. Highly recommend Anne Arundel Dermatology!!

MettaYetta

Google
4/2/26

I’ve always had a great experience here. The office at Tennova North and Dowell Springs are the two I frequent. Every provider I’ve ever visited here has been amazing! My most recent visit was with Sandra Vaughn, NP-C and she was amazing! I would describe her as thorough, professional and a down to earth human being. Her technician was also so pleasant to be around.

MettaYetta

Google
7/8/24

I come here for Milia removal and Aubrey is THE BEST. Such a sweetheart and very knowledgeable of the products and what would be best for me. Wherever she goes I will follow! ❤️

MettaYetta

Google
7/19/24

I've used them many times, always with a great result. Friendly & caring staff and Dr. Monte is fantastic.

MettaYetta

Google
7/21/25

Professional,polite,very clear and detailed exam plus instructions.

MettaYetta

Google
12/11/25

Dermatóloga Nathali Rodriguez un amor de persona, profesional, y a pesar de su juventud está muy preparada! Su medical assistant excelente

MettaYetta

Google
8/10/23

Paige Venables, PA-C, was very thorough, and made me feel very comfortable.

MettaYetta

Google
7/27/26

FABULOUS EXPERIENCE! Staff are just wonderful! Made me feel heard & understood. I will recommend to EVERYONE!!

MettaYetta

Google
9/17/26

Excellent service; the staff was very pleasant and friendly. I liked it so much that I booked an appointment for my children for next week—I highly recommend them.

MettaYetta

Google
7/30/26

Been seeing them for a decade now. Always a positive experience

MettaYetta

Google
9/23/26

Very pleasant experience from the time I walked in. Dr. Richardson was very professional and detailed. She explained everything and addressed all of my concerns.

MettaYetta

Google
7/24/25

Always detailed and professional in explanations. Never feel rushed. Thanks for that

MettaYetta

Google
10/15/26

Megan was phenomenal. She displays a level of compassion and care that's rare in the medical industry. Great Job!!!

MettaYetta

Google
8/26/26

Excellent facility, excellent people that work there.

MettaYetta

Google
12/19/25

Amanda is very knowledgeable and great to work with. Great office staff!!

MettaYetta

Google
10/18/26

Lived in Florida for 40+ years, lots of sun damage, & have seen many dermatologists. This is by far the best practice I’ve found. Frank and the entire staff are professional, knowledgeable, friendly, understanding and kind. They respond quickly, explain everything, and listen to concerns. And they don’t rush you through your appointment!

MettaYetta

Google
8/12/26

I recently moved to Leland and left a wonderful dermatologist in my hometown. I needed to find a dermatologist in my new hometown and was so afraid I could find nothing to compare. I was definitely wrong. Dr. Bermudez and his staff are amazing! I was professionally and respectfully guided thru three Mohs surgeries with compassion and genuine concern for my well being. I received phone calls after each surgery from Dr. Bermudez. The first phone call concerned me, thinking they had found an issue. After listening to the voice mail, he was just calling to see how I was. Who does that anymore!!!!????? I highly recommend this practice!!!

MettaYetta

Google
6/23/26

Absolutely loved my visit at Dermatology Institute today. From the front desk all the way to Dr. Jamie and her man nurse don’t know his name but he was so funny!!!🤭 Everybody was very nice and pleasant! see yall again in 6 months!!!

MettaYetta

Google
7/28/26

Wonderful staff. Fast and efficient.

MettaYetta

Google
7/14/25

I have been coming to this Dermotologist for many years and have complete confidence that I am in good hands. Everyone is well educated and kind.

MettaYetta

Google
8/5/26

Love the app connection and personal connection with this company.

MettaYetta

Google
9/3/26

excellent staff

MettaYetta

Google
9/2/25

i visited dr.boswell a few years ago to get some assistance on adult acne and they really took their time to listen while i explained the history of my skin. my skincare routine is now much more simple and is the clearest it has ever been. i recently visited (with dr.johanna young) due to a persistent, painful contact dermatitis rash which no one was able to clear. they (again) took their time listening to me and truly made me feel cared for and it was 90% cleared within two days. i am a forever patient 😭 great doctors and great staff. thank you so much!!

MettaYetta

Google
6/18/26

Complacida con la atención en general . Amabilidad , respeto, empatía, asepsia de la clínica .

MettaYetta

Google
10/9/26

Great experience! Friendly staff and very clean and professional environment

MettaYetta

Google
8/6/25

We are thrilled to have found VA dermatology. After moving to virginia from vegas, we tried parasier dermatology, but they were awful and did not provide the same quality as our previous vegas dermatologist. We asked for a new referral to Va dermatology after receiving a recommendation from a friend who had the same bad experience with parasier. So we tried Va Dermatology, and had an amazing experience. Mrs. Tammy caught issues that the other place dismissed. She took care of my 3 children (3,4&7) and my concerns as well.

MettaYetta

Google
4/3/26

Nurse Harris and her staff are awesome, very knowledgeable and kind. I highly recommend Harris.

MettaYetta

Google
6/19/24

I was very pleased with my appointment with Allison. She was very detail-oriented and took the time to discuss my family history and my concerns.

MettaYetta

Google
7/20/26

Staff courteous and professional

MettaYetta

Our Website
9/18/25

Our visit was welcoming, professional, and friendly by the entire team! We highly recommend Va. Dermatology!

MettaYetta

Google
10/8/26

Dr. Wheeler is amazing! Always makes me feel like she genuinely cares about my health! She always listens to any concerns I have and is quick to make sure they are addressed and handled! I leave every appointment feeling well cared for! I would highly recommend her!

MettaYetta

Google
4/11/25

I have been going here for several years. They are very thorough, professional, caring, and respectful. I would highly recommend this practice.

MettaYetta

Google
7/1/25

I would recommend this Dermatology clinic to anyone in need.

MettaYetta

Google
9/5/25

Excellent, professional practice. Dr. Vincent is the best.

MettaYetta

Google
8/24/26

Dr. Giblin‘s one of the nicest doctors I’ve ever seen he’s extremely professional

MettaYetta

Google
7/22/26

MettaYetta

Google
7/12/24

MettaYetta

Google
8/13/26

MettaYetta

Google
8/10/24

MettaYetta

Google
5/7/26

MettaYetta

Google
6/29/24

MettaYetta

Google
3/24/25

MettaYetta

Google
6/13/26

MettaYetta

Google
5/29/26

MettaYetta

Google
6/12/25

MettaYetta

Google
5/1/25

MettaYetta

Google
5/27/25

MettaYetta

Google
7/14/26

MettaYetta

Google
3/27/26

MettaYetta

Google
9/30/25

MettaYetta

Google
7/23/25

MettaYetta

Google
5/5/26

MettaYetta

Google
5/11/26

MettaYetta

Google
9/30/26

MettaYetta

Google
10/17/26

MettaYetta

Google
9/30/26

MettaYetta

Google
5/12/26

MettaYetta

Google
8/28/26

MettaYetta

Google
12/31/25

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Google
8/27/25

MettaYetta

Google
5/24/24

MettaYetta

Google
8/28/26

MettaYetta

Google
6/27/25

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Google
10/9/26

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Google
7/24/26

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Google
12/9/24

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9/26/26

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8/20/26

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7/20/24

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Google
9/21/26

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10/1/25

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6/26/26

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7/30/26

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7/25/24

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5/3/26

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9/6/26

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6/11/26

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5/23/26

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9/22/25

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7/7/25

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Google
10/14/26

FEEL CONFIDENT IN YOUR PROCEDURE

Your Chemotherapy Questions, Answered

No, and this distinction matters. The chemotherapy used in oncology is systemic: it is administered intravenously or orally and travels through the entire body to target cancer cells wherever they may be. Topical chemotherapy in dermatology is applied directly to the surface of the skin and works only in the area where it is applied. It does not enter the bloodstream in meaningful amounts and is not associated with the systemic side effects that most people associate with traditional chemotherapy.

The two most commonly prescribed topical chemotherapy agents in dermatology are 5-fluorouracil, available under brand names including Efudex and Carac, and imiquimod, available as Aldara or Zyclara. Both are prescription medications. 5-FU works by blocking the ability of abnormal cells to replicate. Imiquimod works differently. It activates the immune system to identify and eliminate abnormal cells. Your dermatologist will select the appropriate medication and formulation based on your specific diagnosis.

Topical chemotherapy is most commonly used to treat actinic keratoses, or precancerous, rough, sun-damaged patches that can progress to squamous cell carcinoma if left untreated. It is also used for superficial basal cell carcinoma and squamous cell carcinoma in situ in areas appropriate for non-surgical treatment. It is particularly well-suited for treating field damage, broad areas of sun-injured skin with multiple visible and subclinical lesions.

A significant inflammatory skin reaction is a normal and expected part of topical chemotherapy. As treatment progresses, the treated area typically becomes red, swollen, and may crust, blister, or feel raw. This reaction can look alarming if you are not prepared for it, which is why your provider will explain exactly what to expect before you begin. The reaction indicates that the medication is working. If you experience severe pain, signs of infection, or a reaction outside the treatment area, contact your provider.

Most patients can maintain their normal routine during treatment, though you may want to avoid situations where the treated area will be prominently visible or exposed to the sun. Sun protection over the treated area is important throughout the course. Your provider will advise you on any specific activity restrictions based on the location being treated.

The duration varies by medication and diagnosis. A standard course of 5-fluorouracil is typically two to four weeks of daily or twice-daily application. Imiquimod regimens may span several weeks with application on alternating days. Full healing after completing the treatment course generally takes an additional four to eight weeks. Your provider will give you a specific schedule at your consultation.

Yes, your provider will schedule follow-up visits during and after your treatment course to assess your skin's response, address any concerns, and confirm complete resolution once healing is complete. The frequency of follow-up visits will depend on your specific regimen and how your skin is responding.

If the inflammatory response becomes difficult to manage, contact your provider before stopping treatment on your own. In some cases, a brief treatment pause or adjustment to the application schedule can help. Stopping early may reduce effectiveness, so it is important to communicate with your care team rather than discontinue without guidance.

Topical chemotherapy is highly effective for the right candidates and the right diagnoses, but it is not appropriate for all skin cancers or all patients. Response rates vary, and some patients may require additional treatment after completing a topical course. Your provider will evaluate your results at follow-up and recommend any further treatment if needed.

Ready to address your skin cancer concerns?

Our team builds a plan around you. Schedule now to alleviate your skin cancer concerns.

Schedule Online

Related Treatments

Cryosurgery
Destruction
Excision
Mohs Surgery
Photodynamic Therapy

Precancerous Skin Deserves Expert Attention

Actinic keratoses and early-stage skin cancers are highly treatable, and addressing them before they progress is always the right call. Our board-certified dermatologists will evaluate your skin, explain your options clearly, and recommend a treatment plan that fits your diagnosis and your life.

Schedule Online Text Us: (443) 234-0342
Anne Arundel Dermatology

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