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This is Dr. David
I am a cancer doctor
I am sorry about your stepson.
we are not at Mayo Clinic here. we are doctors here at JustAnswers here to answer medical questions.
it sounds like he has a lot of melanoma which are active on the skin.
he may benefit from a PD-1 blocker immunotherapy like Kaytruda which could help shrink all of his melanoma
using prednisone on his face will not help.
he needs a full body PET/CT scan to see if he has evidence of melanoma in other parts of his body
he needs to consult with a medical oncologist with regards ***** ***** melanoma, not just a skin surgeon
let me know if you have questions.
if you would like to talk by phone, you have to accept additional phone consult services which I can do for you