### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Doctor,My mother has been diagnosed with cancer. The OB-GYN told us that it is Ovarian Cancer and that there is already a spread to other organs in her body, particularly the wall surrounding her intestines. Suggested treatment is chemotherapy. But my mother is a bit hesitant, considering the pain that she is experiencing right, she might not withstand the side-effects of the procedure. Based on the result of the biopsy, as follows "ENDOMETRIOID ADENOCARCINOMA, MODERATELY DIFFERENTIATED, Both Ovaries.  Extent of Involvement, Both Fallopian tubes and Omentum. Lymphovascular Invasion. Present in the Cervix and Endomyometrium. Other Findings: CHRONIC CERVICITIS with NOBOTHIAN CYSTS. SECRETORY ENDOMETRIUM.", how would you stage her cancer and what treatment would be possible aside from chemotheraphy? Thank you,Francis

### output:

Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. By her reports, your mother is having stage 4 ovarian cancer. Her cancer is already spread to intestine, so she is having end stage cancer. The only treatment advisable is palliative treatment in the form of1. Chemotherapy2. Radiotherapy3. Nutritional support4. Pain management. Surgery is contraindicated. Did effects of chemotherapy are high. So you need to be very cautious about starting it. Life expectancy without chemotherapy islets than 1 year. So better discuss in depth about chem chemotherapy and then decide accordingly.