<s>[INST] hi my daughter had a lesion removed from her ear and they termed it PEM or overlaps with animal type melanoma she went back in and had a wider margih removed.my question is will she need any other treatment and if so what would she need? [/INST] The list of treatments mentioned in various sources for Animal-type melanoma includes the following list. Always seek professional medical advice about any treatment or change in treatment plans. Surgery along with radiotherapySurgeryExcision of primary +/- regional lymph nodesExcision of metastasesChemotherapy - mainly used for metastatic diseaseBiological therapies - for metastatic diseaseRadiotherapy - may be used for treatment of symptomatic bony metastases, or cerebral metastases </s>