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

### input:
my dad is sufering from adinocarcinoms anal canal rectum involved in it and localy advanced t3 mo as the onchologist of surgery  say to get first permanent cholnlocal stomy snd i am refering dr AAAA in mumbai he says no it not yet soreaded anywhere in blood bonws kidney etc we need not go for that as his stols r geting paseed we hsve slready done with first cycle of chemeo and already 25 days have passed two day we took iv and third day as his veins was not geting in proper so by our request we took oral of xeloda 500 mg and then he suffered from loos motion which got controled in 10 day again i have been to msny oncologist to under stand can v go a head without stoma as my dad was not ready for stoma at all and i got no answer and now in mean while we have done his blod test again but  still wating for him to get more better for the next cycle in mean while i have started some auyrveda treatment also so is it ok snd what r the survival chance pls some one tell me that plsssss

### output:

Hello, Welcome to Chat Doctor. From your query I understood that your father is in advanced stage of adenocarcinoma rectum without any metastasis. Early rectal cancers have very good prognosis. If cancer cells have not invaded the rectal muscular wall, 90%of them can be cured by surgery. If the cancer has breached the rectal muscular wall and gone to the regional lymph nodes, approximately 60% of rectal cancer patients will still survive at least 5 years. If the rectal cancer tumor has spread to other organs such as the liver or lung, the 5-year survival is only 10%. Surgery i.e. Resection and colostomy followed by chemotherapy is the main treatment even in the advanced stage for rectal and anal cancers. Since he is advanced stage, At Least he needs some Palliative surgery for tumor. Hope this helps. Take care of your father.