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What is the prognosis?
My uncle,53 yrs old smoker non diabetic normotensive ,positive H/O adenocarcinoma of lung of his younger brother and adenocarcinoma of stomach of his elder brother had been diagnosed as a case of  adenocarcinoma of lung 2 months ago through FNAC from Lt supraclavicular lymphnode, He was advised for chemo follwed by radiotherapy but he refused,now liver metastasis occurs(USG shows SOL in liver with mild hepatomegaly ).He also developed mild ascites,moderate plearal effusion, pericardial effusion without cardiac temponade.Now patient is dyspneic aggravated on minimal exertion.His first complain was just hoarseness of voice without anyother symptoms 9 moths ago that time his other profile was reasonably normal.

My question is at this stage what is the prognosis of my uncle?
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