Toronto Mayor Rob Ford is suffering from a rare and difficult cancer that will require aggressive chemotherapy, his doctor has confirmed.
The 45-year-old has been in hospital for a week and Dr Zane Cohen, a colorectal surgeon at Mount Sinai hospital, said tests confirmed Mr Ford has a malignant sarcoma.
He will undergo intensive chemotherapy within the next two days after it was discovered the cancer is spreading.
The mayor withdrew his re-election bid last week, ending a campaign he had continued despite calls for him to quit amid drug and alcohol scandals and a stint in rehab.
The mayor's doctor Zane Cohen said Mr Ford will undergo chemotherapyDoug Ford is running for mayor in his brother's place.
The mayor checked himself into a hospital last week after complaining of stomach pain while eating breakfast with his brother.
"He's having some pain still," Dr Cohen said. "We are managing that."
He said the initial biopsy came back inconclusive but said a second biopsy led them to conclusive diagnosis.
Dr Cohen told a news conference: "The diagnosis is a malignant liposarcoma. A few things I would like to say about that tumour: it comprises about 1% only of all cancers.
"It arises from soft tissue structures, so it's not within an organ. It's not in the colon. It's not in the liver. It's in the tissues, such as fatty tissue, blood vessels, nerves, connective tissue, muscle.
Doug Ford is running for mayor in his brother's place"It has 60 different cell types, and that's what makes it a very rare tumour, and a very difficult tumour."
He added: "The plan will be, initially, chemotherapy.
"Pending on the response, will depend on what we do next. It may require further cycles of chemotherapy.
"There may, or may not be radiation involved. There may, or may not be, surgery involved.
"It will all depend on the response to initial treatment and subsequent treatment as well."
Doug Ford Sr, the mayor's farther, died of colon cancer in 2006.
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