Following an appointment with a specialist today my sister is scheduled for surgery on Wednesday. Initial staging is a 4 because of the ascitis but could be downgraded to a 3 once everything is out and looked at. A stoma has been mentioned as a worst case scenario. The other thing she was told is it could have been there for many years and suddenly accelerated. Praying for a good outcome, she is relatively young, fit and determined and we are 100% supporting her.