8.5 years after initial diagnosis,
alternative immune stimulating therapies dosed fairly high, and surgery 4 weeks later.
My wife had a powerful necrosis event that destroyed a lot of abdominal mets in fatty deposits and on the omentum. At the surgery door, the surgeon said that it was peculiar that he was scooping out a lot of clearly visible mets so easily. One met on the omentum, about 20x25 mm, he couldn't scrape out completely after a unit of blood. Originally at the end of surgery, he was suggesting radiation targeted around the staples there, but then the next few days, he and the pathologist were totally weirded out about the massive necrosis and granulocytic attack - everything dead and unrecognizable at the cellular level.
So then they're in denial mode officially ("no pathology" to document left). Except my wife is already carrying a 1+ inch para-aortic cluster too. They were trying to ignore that too, without an official pathology to present on the peritoneum, except perhaps on a whisper basis (repeatedly over two weeks time, "have your oncologist call me"). Once the para-aortic lymph nodes were documented viable, then realities (e)merge.
Three years later, for a 3T MRI pre-certification, I called him about his metal staples and technique. He first answered me, "What?!? Your wife is still alive?!? Come see me".