The MRI shows that the tumor in her spinal canal hasn't really changed (which is good). There is still some tumor in her abdomen that the surgeon was not able to remove. The pathology from the surgery shows that the tumor is on its way to maturing, but not there yet. Neuroblastoma is strange because it does mature completely on its own given enough time. However, it also can do a lot of damage if left untreated because it can still grow.
Because the tumor in her spine is in such a sensitive area the doctor doesn't want to risk just letting it mature on its own and possibly causing more nerve damage or something should it start to grow. Chemotherapy will push the tumor to mature faster than it will if left untreated. So, we're looking at two more rounds of chemo. Not what we were hoping for, but I had suspected this would be the case. We are disappointed, but if she needs it, she needs it.
She will get chemotherapy on Monday, Tuesday and Wednesday of next week. After that we wait three weeks for her to recover and then she gets round two. During that time we will go to clinic once a week for labs to make sure that she doesn't need blood or platelets. She did so well with her previous four rounds that the doctor doesn't expect her to have any complications. After these two rounds she will get another MRI and we will go from there. Her urine will also be tested to measure the rate of maturation.
This treatment is a little bit like Grad school. It never seems to end, and you don't have any idea of when it will actually end.