I am new to this forum. My husband's melanoma has come back for the 4th time.  He's still healing from the 3rd surgery on his head. Now he has about 12 small new spots of melanoma around his ear.  We were told if surgery is possible it would require skin grafts.  He is a Kaiser member so we don't feel like we have the the most informed team.  I think the surgeon is great, but they don't seem to have any specialists in melanoma.  I'm not sure how to go about or who to ask for a 2nd opinion outside of Kaiser.  The oncologist we saw said she recommends T-Vec.  Is that the same as immunotherapy? Are there different kinds of TVEC? The results I've seen on line don't look encouraging.  After a CT scan for something else they noticed a spot on his liver this past week.  They said it might be a hemangioma and he has an appt in a few weeks for an MRI.  I don't know if it's possibly melanoma or if there is any spread.  He had a clean PET scan on 8-28, but the cancer came back so quickly I'm very concerned. Any advice would be greatly appreciated.