My wife's last scan showed that the cancer was growing again, which, while not really being unexpected (she's been off chemo for a year, and the radioactive beads were done in March), was still quite a blow.
The lesions are still pretty small, which is good, but there's some evidence that it might also be present in some lymph nodes and her lungs, though this is not certain (but is certainly scary to us, though the doctors didn't seem terribly put out). Either way that wouldn't change the next treatment, which is to go back on chemo.
This time round the dose (and number of drugs) will be lower than last year, since the goal is now to keep growth in check rather than to aggressively try to shrink the tumors. So hopefully the side effects will be much better than last year, which was pretty horrible.
As if we didn't already have enough stress from this, we found out Saturday that the hospital where her consultant works and where she's had all her scans (and surgeries etc) is now not in our insurance company's network, which will cost us an additional $16K a year if we continue to see this consultant and get scans done there. Helpfully our insurance company let us know a couple of weeks after they and the hospital parted ways. We our currently evaluating our options, we really don't want to change physicians. At least the clinic where she gets her chemo is still part of the network. I'm not sure if words can adequately express my feelings about the American health care system right now.