Just Pamela here. I have more questions than answers after my visit to U of M. What I do know is that they are diagnosing it as vulvo-vaginal mucosal melanoma. My case will go before the multi-disciplinary board on Wednesday November 27th; however, Dr. Cha felt she had already spoken to the key players and did not feel there would be additional information. At this time there is no known clinical trial for this type of cancer that has shown promise. Dr. Cha reiterates that the best plan is to be rechecked regularly. I will be following up with a medical oncologist to evaluate some of the PET scan results due to some areas in question. I met with a genetic counselor who was very informative. We are looking into some genetic testing based on my family history. U of M’s advice is to proceed with my normal lifestyle :0). Asking for prayers for decisions regarding timing to return to work.