Dear Mandy,
Becky is absolutely right. Tell your friend to run to another oncologist for a second opinion...preferably at a major medical center. If you tell us where your are located there may be members here who can recommend an oncologist and save her precious time. Also a tumor tissue sample can help them give her the most optimal treatment up front. If I were in her shoes; I would run to Sloan, MD Anderson, Fred Hutch or similar major medical facility and fly if necessary. There are also multiple clinical trials for stage four ladies...Dr. Nora Disis, the head of the tumor vaccine group in Seattle (google tumor vaccine group and they will pop up), just told me about a couple of trials in DC that look promising ...a web site follows.
http://www.cancer.gov/search/ViewCli...archid=2941128
Good luck to you and your friend; please know you can email any of us privately as well; we are here to help...please keep us posted...
Kim from CT