My aunt, a 60 years old female has been diagnosed with cancer in the recto sigmoid junction. The tumor is so large that the colonoscope could not penetrate beyond it. The tumor bleeds on touch. The biopsy report has confirmed adenocarcinoma. CT scan reveals cysts in the liver. Doctors are suspecting a stage IV cancer and are prescribing surgery as early as possible. My question is, whether I should take some more time and take her abroad for better treatment (?) or shoud I go for the surgery first and then check out my chemo and/or radio therapy options. Awaiting your advice.