@maliamd Wow, I would be shocked to hear about the spread too based on your initial diagnosis and treatment. I'm so sorry to hear that. I'm happy that the targeted meds are working well for you and you're feeling good! Don't know about the typical liver spot treatment, but keep an eye on leeann66 who is doing a clinical trial for her metastatic breast cancer and it's working great. Stage III trial on Tropion. Who knows when it will be FDA approved, but hopefully by the time any of us need it.
https://connect.mayoclinic.org/discussion/something-new-in-the-treatment-arsenal/?pg=2
Also, histotripsy is a new FDA approved ultrasound treatment for malignant liver tumors. Check out threads on that.
https://connect.mayoclinic.org/discussion/histotripsy/
So far only a couple cancer centers have signed up for it because it's expensive to implement and insurance coverage is unknown. I'm not sure which facilities, but my IR thought Cleveland Clinic may be one of them, but not sure. Prayers for you.