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The Top Doctor award is a peer-nominated award for providers who give exceptional care.

Michi M. Shinohara, MD

Co-Director, Cutaneous Lymphoma Clinic
Fred Hutch
Assistant Professor, Division of Dermatology
University of Washington School of Medicine
Specialty:
Dermatology
“It’s meaningful to care for people in a longitudinal way, seeing them through all the different phases of their lives.”
— Dr. Shinohara
Why do you practice dermatology?

I have the unique opportunity to help patients alleviate skin symptoms associated with cancer treatment. These symptoms tend to be very visible and bothersome, like itching or peeling. Showing people how to take care of their skin while undergoing treatment can have a big impact on their quality of life. I also treat patients with cutaneous T-cell lymphoma (CTCL), a rare type of cancer that originates in white blood cells but affects the skin. There’s a lot of misinformation out there about this disease, so I find it rewarding to help patients understand what the condition is and how we can treat it. Most people live with CTCL for quite a long time, and I want to make sure those years are good years. 

Lymphoma Cancer that begins in the cells of the immune system. There are two basic categories of lymphomas: Hodgkin lymphoma and non-Hodgkin lymphomas. Cancer that begins in cells of the immune system. There are two basic categories of lymphomas. One is Hodgkin lymphoma, which is marked by the presence of a type of cell called the Reed-Sternberg cell. The other category is non-Hodgkin lymphomas, which includes a large, diverse group of cancers of immune system cells. Non-Hodgkin lymphomas can be further divided into cancers that have an indolent (slow-growing) course and those that have an aggressive (fast-growing) course. These subtypes behave and respond to treatment differently. Both Hodgkin and non-Hodgkin lymphomas can occur in children and adults, and prognosis and treatment depend on the stage and the type of cancer. Symptom A physical or mental problem that a person experiences that may indicate a disease or condition. Symptoms cannot be seen and do not show up on medical tests. A physical or mental problem that a person experiences that may indicate a disease or condition. Symptoms cannot be seen and do not show up on medical tests. Some examples of symptoms are headache, fatigue, nausea and pain.
What personal experiences have shaped your approach to care?

I was treated for thyroid cancer at Fred Hutch, and that experience made me appreciate the fact that people can have very different ways of coping with illness. Personally, I valued being able to let go of the problem; while I still participated in making decisions, I chose not to be involved in all the details or to read every new study about my disease so that I could instead focus on living my life. As a physician, I strive to understand your motivations, identify what you see as an ideal outcome and respect your desires about how much information you want to know. 

Provider background

Specialty: Dermatology

Area of clinical practice

Hematologic malignancies, skin cancers, skin conditions related to cancer treatment

Cutaneous T-cell lymphoma, cancer-related skin complications

I am a physician who is triple-board-certified in internal medicine, dermatology and dermatopathology (the cellular causes of skin diseases). My clinical expertise includes the treatment of a variety of cancer-related skin complications. I see patients at the Dermatology Clinic at UWMC-Roosevelt, and I also serve as the co-director of SCCA’s Cutaneous Lymphoma Clinic.

CTCL is often diagnosed only after substantial delay, and it can be challenging to treat. I am establishing a national registry for patients with CTCL so that we as a field can better understand the disease and develop novel treatment strategies. In addition to conducting clinical trials for CTCL, I also participate in collaborative studies with the United States Cutaneous Lymphoma Consortium.  

Lymphoma Cancer that begins in the cells of the immune system. There are two basic categories of lymphomas: Hodgkin lymphoma and non-Hodgkin lymphomas. Cancer that begins in cells of the immune system. There are two basic categories of lymphomas. One is Hodgkin lymphoma, which is marked by the presence of a type of cell called the Reed-Sternberg cell. The other category is non-Hodgkin lymphomas, which includes a large, diverse group of cancers of immune system cells. Non-Hodgkin lymphomas can be further divided into cancers that have an indolent (slow-growing) course and those that have an aggressive (fast-growing) course. These subtypes behave and respond to treatment differently. Both Hodgkin and non-Hodgkin lymphomas can occur in children and adults, and prognosis and treatment depend on the stage and the type of cancer.

Diseases treated

Education, experience and certifications
Medical Degree
University of Washington
Residency
University of Washington
Fellowship
University of Pennsylvania
Board Certification
Dermatology, 2009, American Board of Dermatology; Dermatopathology, 2011, American Board of Dermatology
Languages
English
Awards
Seattle Met's 2022 Top Doctors award

Dr. Shinohara has received this peer-nominated award for her exceptional patient care multiple years in a row.

Seattle magazine's 2021 Top Doctors award

Dr. Shinohara has been recognized as a Top Doctor in this peer-nominated award multiple years in a row.

Research

Clinical trials

We make promising new treatments available to you through studies called clinical trials led by Fred Hutch doctors. Many of these trials at Fred Hutch have led to FDA-approved treatments and have improved standards of care globally. Together, you and your doctor can decide if a study is right for you.

Study ID:
NCT04422912
Open-label Study to Determine the Maximum Tolerated Dose of DSG3-CAART in Mucosal-dominant PV Patients (mPV)
Complete title
A phase 1, open-label, safety and dosing study of autologous desmoglein 3 chimeric autoantibody receptor T cells (DSG3-CAART) in subjects with active, anti-DSG3, mucosal-dominant pemphigus vulgaris

Publications

Many of our Fred Hutch doctors conduct ongoing research to improve standards of patient care. Their work is evaluated by other doctors and selected for publication to the United States National Library of Medicine, the largest medical library in the world. See scientific papers this Fred Hutch provider has written.

Press

Our providers are often asked to give their medical expertise for press and news publications. Read articles by or about this Fred Hutch provider.

Top Doctors 2021: Dermatology

SCCA’s Paul T. Nghiem, MD, PhD, and Michi M. Shinohara, MD, were named to Seattle Magazine’s list of Top Doctors in Seattle for 2021, recognizing their excellence in dermatology for skin cancer.

Your care team

At Fred Hutch, you receive care from a team of providers with extensive experience in your disease. Your team includes doctors, a patient care coordinator, a registered nurse, an advanced practice provider and others, based on your needs. You also have access to experts like nutritionists, social workers, acupuncturists, psychiatrists and more who specialize in supporting people with cancer or blood disorders.
Registered nurse (RN)
Registered nurse (RN)
Your nurse manages your care alongside your doctor and assists with care procedures and treatments.
Patient care coordinator
Patient care coordinator
Your patient care coordinator works closely with you and your doctor and serves as your scheduler.

Insurance

Fred Hutch accepts most national private health insurance plans as well as Medicare. We also accept Medicaid for people from Washington, Alaska, Montana and Idaho. We are working to ensure that everyone, no matter what their financial situation, has access to the care they need.

For providers