Patient presents with a history of malignant melanoma.  Initial diagnosis date was documented as [Date of Initial Diagnosis].  The primary site of the original melanoma was [Location of Primary Melanoma] with a Breslow thickness of [Breslow Thickness] mm, Clark level [Clark Level], and [Presence or Absence] of ulceration.  [Positive or Negative] sentinel lymph node biopsy was performed on [Date of Sentinel Node Biopsy], revealing [Number] positive nodes out of [Total Number] examined.  The original melanoma was staged as [Stage of Melanoma] according to the AJCC staging system.  Treatment for the initial melanoma included [Treatment Modalities, e.g., wide local excision, sentinel lymph node biopsy, adjuvant therapy]. The patient is currently [Asymptomatic or Symptomatic] with [Description of Current Symptoms, if any].  Physical examination revealed [Findings on Physical Exam, including any suspicious lesions with size, color, and location].  Patient reports [Patient-reported concerns or symptoms related to potential recurrence].  Differential diagnoses considered include [Differential Diagnoses].  Plan includes [Plan of Care, e.g., full skin examination, imaging studies, biopsy, referral to oncology].  Melanoma recurrence, skin cancer screening, dermatologic oncology, and sentinel lymph node mapping were discussed with the patient.  Patient education provided on sun protection and skin self-examination.  Follow-up scheduled in [Follow-up Interval].