So sorry to hear of this recent development and I don't blame you for feeling a bit down in the dumps.
However, there is one positive thing to remember and is you are still Stage III.
About a year or so ago I had met a woman whose brother was in a situation similar to yours. Her brother and I had been diagnosed at the same time. It even was the same month and year: December 2010 and we'd even had our lymph node dissections done at the same hospital.
Like me, he'd also had all the lymph nodes removed from under his left arm pit. Like you, within two years of being diagnosed, routine scans revealed that melanoma had spread to some other lymph nodes. For him it was his right arm pit, so he had to have a second lymph node dissection. I don't recall if he had any additional treatment after that second surgery. But regardless, not much was available in the 2011-2012 time frame for Stage III melanoma, anyway.
I had met this fellow's sister in 2017-2018 and aside from those initial struggles she said her brother was doing well. No signs of melanoma or lymphedema. She and I congratulated each other's good fortune and then went our separate ways.
You have a big advantage to someone like this fellow because Opdivo is now available to you. While it's not without some side effects, it's still a huge plus. And, it's a game changer and a great option.
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