Small met located on my right posterior iliac about 6 weeks ago brought me up to Stage 4 after participating in the ipilimumab trial earlier this year. Will be determining next steps in a week or so after PET scan results are available. My onc at Seidman indicates that if it is smaller or same as originally spotted, remove with radiotactical surgery. If gone, wait and watch. If larger or additional mets noted, systemic treatment is needed. I just learned that I am BRAF positive and am wondering what systemic treatments this might open the door to.