Terrible news. As I posted above, the lip is so vascular, a cancer like melanoma will spread so quickly that by the time you notice it, it is likely to be too late.
I was very surprised that he came back so quickly last year with just an excision of the lesion performed. I would have thought he would have gone through a course of the preferred chemotherapy used these days at the time too. I would now be pushing for early use of MK-3475 if he can get it.
Once melanoma has spread the picture is grim.