IZ YA BOI DOCTAH B-RAD-EE

1) Realistically, Bill only has three options to choose from when it comes to removing the melanoma from his body.

• Excisional surgery - a procedure in which the cancerous tissues are cut away from nearby healthy tissue, thereby preventing the cancer from spreading any further.
• Chemotherapy - a form of treatment in which the patient is given "anti-cancer" medication that circulates the body destroying any cancerous cells (as well as healthy cells) in an effort to control the spread. This treatment results in losing hair and becoming ill easily.
• Mohs Micrographic surgery - a procedure where the attending doctor cuts away visible melanoma spots and examines the removed tissue until no cancer cells are seen. When no cells are found, the wound is treated.

2) I would elect Bill go under excisional surgery, followed by moderate chemotherapy. A two-pronged attack on the melanoma would be more effective than merely using one or the other. Better to take the extra step and ensure the cancer is gone than wait for it to come back.