Topic: Surgery or no?
My dad has been diagnosed w intrahepatic liver cancer. He has 1 lg and 1 smaller tumor in the liver. He also is in stage 4 kidney failure due to diabetes and just had a fistula put in. We've gotten 3 different opinions on treatment and are struggling to come to a decision. Robert Packer says no resectomy; only chemo. Geisinger says liver partial liver resection (cut lg tumor, burn off sm), then chemo. Johns Hopkins says chemo for two months, then scan, then reevaluate and possibly remove tumors via radiation/ablation. Surgeons fear the unseen cancer that could b there. He wants surgery. But there are so many unknowns to each approach especially with the kidney issues and the harshness of the chemo. Any thots/experiences/suggestions ? Thx much!!