Ok, so we would rather you still come in for your scheduled appointment and get your scans. This is for two reasons. First is that you will need to have scans prior to starting treatment. You have disease elsewhere and so removing that one lesion won't get you disease free...so then the next step once you have washed out from decarbazine (4 weeks from last dose) you can get going on the CTLA-4. The second reason is that there has to be an off study exam and also an "on study" exam for the next step.I think that your disease is too active right now to just do surgery and radiation to be honest. Things are changing quickly and I think that we are best served to hit you hard as possible, make sense?? The other thing is that we don't know what else is going on elsewhere in your body (god willing, there will be nothing else)I would assume that Dr. Kirkwood would talk to Dr. Peacock, but I would not recommend the surgery/radiation without going through with the scans and talking to us first, ok?Hope this helps, let me know if there is anything else you need.
Melissa
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