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

### input:
My grandmother has recently undergone a surgery for hernia. The doctors now say she has stage 4 cancer. She is located at Mumbai, India and the only options given to us is surgery and chemotherapy. My grandmother is very weak after surgery. We need guidance in the course of action that can be taken. I have posted the report handed over to us. A 2.9 x 2.8 x 2.3 cm measuring hypodense to soft tissue lesion heterogenrously enhancing seen arising from the right adrenal gland.Il defined mesenteric thickening and stranding noted in the left lumbar region.  Soft tissue density irregular border lesion with calcific speck within is seen in the central pelvis with adjacent mesenteric thickening, abdomino-pelvic fluid.  This lesion causing indentation on the posterior wall of bladder.  The uterus and ovaries not visualised seperately. This could be suggestive of malignant etiology." The liver. gall bladder, spleen, pancreas and left adrenals, both ureters, urinary bladder, uterus are all normal as per the ct scan. Both kidneys are normal in size, shape and show good prompt function.  There is no evidence of focal lesion.  A tiny cortical cyst in the midpole of the left kidney.There is no free fluid or significant lymphadenopathy.The bowel loops appear unremarkable

### output:

Hi, Thanks for writing in. There is a suspected tumor in the pelvis, probably originating from the uterus or ovaries. This is because the report shows that the pelvic organs cannot be clearly visualized and there is a mention of the mass lying behind the urinary bladder. The words mesenteric thickening and an enhancing mass in the right a Chat Doctor.  This is the reason doctors find it to be stage 4 disease. The survival for stage 4 cancer is up to 2 years with recommended chemotherapy and good care. Please provide her good nutrition and adequate fluids. Please do not worry.