<s>[INST] My 88 year old mother has the diagnosis of adenocarcinoma of the colon. The gastroentrologist said he could not pass the scope passed the recal tumor. She is not in great shape and could not tolerate two surgeries and chemo so has elected to do nothing. She was in hospice but is now in a nursing home. She did have a CT scan and nothing was seen in her liver. I do not know the stage. We thought she was going to die when they took us to hospice but now seems to be doing well. What can we expect as to a time frame. Just want to know how to best deal and help her. [/INST] Welcome at HCM    I have gone through your query and being your physician I completely understand your health  concerns.  She needs a multidisciplinary approach including surgeon , gastroenterologist and radiologist. it is difficult to comment on basis of history provided. If there are no secondaries in liver then surgery can be done but your surgeon will decide whether to operate her or not depending upon the overall status of the patient.             Meanwhile stay calm  May she get well soon Hope your query is adequately addressed if you still have any feel free to ask   RegardsDr Saad Sultan </s>