Finally there is reason to be hopeful about my sisters cancer. Her cancer is caused by a virus called hpv and it’s metastatic. She just started chemo yesterday and after two rounds of that she’ll get radiation. Some time after that they’ll try a drug called Keytruda. In the simplest terms Keytruda will shut down a viral defense mechanism that prevents the immune system from recognizing the virus and thus the cancer. While no one tested with Keytruda had metastatic cancer there is no reason why her immune system couldn’t recognize the cancer anywhere. Some people with hpv caused cancers actually went into remission with this treatment. There are risks as with any cancer treatment but I really hope this can extend her life. It was also only effective in about a third of people but even a sliver of hope is something at this point.