Cheryl:
Sorry to hear that your sis is not doing well.
My wife did NOT have surgery although our oncologist had suggested it but our second opinion from Sloan Kettering was so VERY against it. The thought was that since it had already spread, there was no reason to just cut out what you could see on the scan IF there were micro cells floating around. Also, if she had surgery it would have delayed the delivery of the chemo. Who knows, it all seems a bit of guess work to us. My wife still has an advantage since we caught it very early.
Keep the faith, I am hopeful that she will improve.
Our Best Wishes and Prayers
Steve
Hartford, CT