Conversation: The conversation between human and AI assistant.
[|Human|] My husband has stage 4 cancer that has metasisized to his spine c7, lungs, lining of his brain, mandible and maxilla bones. Original cancer was found in sinus cavity, S.N.U.C., which was surgically removed, followed with radiation and chem. His arms twitch, is that from the tumor on the spine. This is awful to say, unfortunately, he has a fowl odor,....is that the cancer?
[|AI|]  Hi, I can understand your concern. Sorry to say SNC has got very poor prognosis even after best modality of treatment application. Now your history suggests a loco regional and distant failure of disease. His arm twitching is definitely due to the spinal cord Mets. Fowl odor is due to super added secondary infection in the local failure in the loco regional site. Still there is some effective palliative measures left. Consult a palliative care specialist.