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

### input:
Dear sirFrom Dr : Nabih OthmanTop urgent Opinion please my sister Egyptian she is 55years old cancer ovary detected on 2005 ovaries and uterus and pelvic lymph nodes was removed followed  by radiotherapy & Chemotherapy treatment follow with all routine investigation  till 2011all were within normal limits. On January 2011 bony metastasis in neck of left femur and abdomen and ribs was detected in pet ct bone curettage done then chemotherapy given but no improvement on 17/7/2011 in pet ct  metastasis to liver seen 5.6x6.2 cm mass chemotherapy given immediatelyplease I need top urgent opinion if I can transfer her to imminent  ( Gustave Roussy Institute for treatment with new trained of cancer treatment such as freezing and thermal and stem cells or any other new strained she will be on my own coast and thank you Dr: Nabih OthmanEgypt - Cairo Tel 00000000E. mail ; YYYY@YYYY

### output:

Thanks for your question on Chat Doctor. I can understand your sisters situation and problem. She is having metastases in liver and bone. This is classified as stage 4 cancer, inoperable cancer. In this stage only palliative treatment in the form of chemotherapy, radiotherapy, nutritional support and pain management are indicated. Stem cells, thermal therapy etc. is useful in stage 1 - 2 cancer. Once cancer is in stage 4, these newer treatment will not help. So better to consult oncologist and discuss all these. Start appropriate palliative treatment for her. Hope I have solved your query. Wishing good health to your sister. Thanks.