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

### input:
I I have just found that my sister has a type of lymphoma called adrenocortical carcinoma. She can no longer speak except to whisper. She has three small tumors on her brain and they are starting radiation tomorrow. In addition she has two tumors in her lung and another on her vocal cord or esophagus...she isn t sure and hasn t said whether they are treating that along with the radiation or what they will be doing with her lung tumors. I will be going to Boise Id. where she currently lives to try to help her through this. I can t see a good outcome for this and wouldn t ever let her know that. I would like to know your feeling about treatment as I know from what I ve read and heard from a close friend (Dr.) who practices in in Fla. that the future with going through treatment will make her very sick and her quality of life not good at best. Do you feel the prognosis is such that she could go through all of this if there isn t a good chance that she ll survive? I know it s not a yes or no questions....I should also tell you she is in stage IV. I am not very hopeful. Thank you in advance for your consideration. Maris

### output:

Hi, dairy have gone through your question. I can understand your concern.  She has metastatic cancer. It is already in stage 4. Surgery is not possible at this stage.  Treatment of choice is chemotherapy and radiotherapy.  However, despite treatment prognosis is very poor.  Life expectancy is very low.  Chemotherapy and radiotherapy definitely make her more sick and quality of life is also bad. It is better to leave her without treatment.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.