Kathy’s recurrence occured with mets to her lung, spine and skull. Skull met was radiated, she restarted chemo in Jan 2019. One brain met noticed in feb 2020 that got radiated, now her spine lesions grew so one of them will be radiated also soon. Though rare, I think Kathy has spoken to a few people who have had spine or brain mets. I think the skull was more rare but can be mistaken.