@vcsongradi My husband's story is so very similar and the hospitalist told me when he was diagnosed just 3 weeks ago with stage4 rectal with mets in surrounding lymphnodes and lungs, since his lymph nodes have been so very impacted, just like his lungs and prostate are so very cancerous, the state of his tissues would not go through surgery well. Described as paper, his tissues would tear and not heal healthily. If he starts hearing about ostomies, he will check out, and that would be a risk of having surgery I think.