<s>[INST] My husband has adenocarcinoma pancreatic ca and is on hospice. His tumor is wrapped around the men s enteric artery and vein .It is rigid and not respectable after two.ties to do the whipped surgery . he is now on hospice and having new symptoms of back pain and red blood in his stools. Are these signs that the cancer is spreading? YYYY@YYYY Thank you [/INST] Hello, welcome to HCM, The symptoms you told are quite indicative of gastrointestinal hemorrhage. Though, the back pain is vague, but, may occur if there is metastasis in bone. So, from the symptoms, it is obvious that the cancer is spreading to the other organs like gastrointestinal tract and bone. Regards. </s>