The Johns Hopkins tumor board will be reviewing my wife's case tomorrow. Next week, we'll have a call the the JH oncologist who oversaw her folfirinox treatments. We're hoping that there's a clinical trial she can qualify for because she's probably not up to more folfirinox. The neuropathy is already debilitating. Folfirinox was effective for the particular mutation in the original tumor but we'll need new biopsies to see if the new tumor has different mutations before deciding on treatment. According to her local oncologist, the small size of the tumor on the ovary will require removal of the ovary rather than just a biopsy. We'll also schedule a consult with an ob/gyn oncologist. Lots of decisions but we need to act fast.