Some context is that Profs Scolyer and Long have recently had a lot of success with immunotherapy for melanoma used as a neo-adjuvant - that is, before surgery.

Some context is that Profs Scolyer and Long have recently had a lot of success with immunotherapy for melanoma used as a neo-adjuvant - that is, before surgery. Start the patient on immuno asap and then excise so the immune system is triggered to potentially clean up anything that has spread.