Update: So my wife has seen a few of the oncologists at University Hospital, first the dermatologist/oncologist did a full body search to try and find the skin cancer, they removed and biopsied 4 areas on her back, and one of them was the skin cancer. He determined that it is not stage 4, thank goodness, but stage 3. Still not good, but better, he said it is common for stage 3 to go to nearby lymph nodes. He referred her to the oncologist that deals with the lymphatic system, and that doctor told her it is only affecting a few lymph nodes, and that treatment will consist of surgery to remove them, and targeted radiation. He scheduled a appointment for tomorrow involving himself and the digestive tract oncologist, he said that will require surgery as well and they will conduct the surgery at the same time. Still a long road ahead, but it may not be a grim as it originally seemed.