Well, I'm back. My Husband was first Diagnosed with stage 2 b Nodular Melanoma of his Posterior upper arm including shoulder 19 months ago. He had Local Wide Excision and had 3 lymph nodes removed and found to be clear. Fast forward to July 2020. Recurrence in the original scar . Once again surgery was performed. I am including the Derm Report following second surgery. He is now considered Stage 3 B. Cat Cans and brain MRI show no disease. So far, He has had a round of Radiation treatments 21 treatments. He will be on Opdivo once a month for 12 months starting October 6th.
This is his pathology report after second surgery was performed.
Perrenial invasion-Not Identified
Tumor Infiltrating Lymphocites--Non Brisk
Pathologic stage- pt4a
Metastases in transit are present.
Oncologist says he want to do Opdivo to keep it from coming back.
Is this the right course of treatment?