Conversation: The conversation between human and AI assistant.
[|Human|] My husband has Kidney Ca, mets to lung, and now new mass in area of nephrectomy.  Persistent fever, fatigue. They suspect bldg. into Psoas. ( flank pain). He has diabetes, CHF, 2 open heart surgeries, a-fib, CVA history. Any suggestions? He is 64 yo, 250 lbs. Also on meds for HTN, hyperlipidemia. We elected no chemo. Diagnosed 11 mos. ago
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. He had carcinoma in kidney, and now it spread to lung also. It is stage 4 cancer. So surgery will not helpful. Moreover, he had open-heart surgeries, hypertension and other co morbid condition. So surgery is not an option. Chemotherapy and radiotherapy can be given, but again it has its own side effects which will worsen the remaining life. So in my opinion no definitive treatment should be given. I am sorry to say but it is true. Life expectancy is very low. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you very good health.