A 39-year-old woman has a nodule on her back that has become larger over the past 2 months. On physical examination, there is a 2.1-cm pigmented lesion with irregular borders and an irregular brown-to-black color. An excisional biopsy with wide margins is performed, and microscopic examination of the biopsy specimen shows a malignant melanoma composed of epithelioid cells that extends 2 mm down to the reticular dermis. There is a band of lymphocytes beneath the melanoma. Which of the following statements is most appropriate to make to this patient regarding these findings?
□ (A) Your immune system will prevent metastases
□ (B) The prognosis is poor
□ (C) Other family members are at risk for this condition
□ (D) The primary site for this lesion is probably the eye
□ (E) Nevi elsewhere on your body may become malignant
