Welcome to OCF. Im so sorry to read about your sister. She certainly has the whole world on her shoulders.

Your sister has some very big decisions to make. Im sure she is feeling overwhelmed about her situation. If she decides to ignore her cancer and not treat it, then she will eventually pass away. It could be a long, drawn out and painful death. There are many stage IV survivors who live happy, healthy lives. Im one of them! My third round of OC, I was Stage IV and was contemplating giving up. The members of this forum helped me to understand that I couldnt just give up until I put forth an effort to beat it. Luckily I took their advice and Im still here, helping other OC patients and caregivers. There are many survivors alive and well who have been thru multiple rounds of SCC. Please help your sister by passing all this along to her.