Prayers to you both.
My advise is whatever is most aggressive and intrusive, do it. Don't waste time with the "we'd like to try this and see if it helps" crap. Time is not on your side. If they suggest taking a section of the lung as an option, do it. Your wife is young enough and strong enough to handle the surgery.
If they're going to take biopsies make sure they get one of ALL the tumors, and make sure they get a positive ID on ALL of them. There could be more than one kind of cancer and while they're treating one, the other could flourish.
Get antsy and demanding now. Be polite when it's over.
Obviously I'm not a doctor and maybe shouldn't give you such advise, but I've known 2 people that I cared about do the exact opposite of what I wrote and both were gone within a year.
I love my wife dearly as I'm sure you do yours. Do what ever you can now.
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