3rd melanoma- where do I go ftom here

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I’ve had my 3rd melanoma removed 5 weeks ago the last one being classed as recurrent. I’ve to discuss further surgery and another referral to oncology re immunotherapy. I’m not keen at all on immunotherapy for various reasons. My ct scan was clear and to be repeated every 6 months. After surgery if I do nothing I’m afraid it will travel to my major organs. My query is- has anyone been in a similar situation and not had immunotherapy? What are my chances of survival ?