Is Lever operable, if affected in certain portion, by Cancer cells ? Can affected portion be removed?

Mother,70, is affected by Lever Cancer. What's the best option ?Can we cut Lever?WHERE TO BEST HER, in India? TATA, B'bay ? Has anyone gone there ? Easy there ?

C.T : Lever is mildly enlarged in size. There's evidence of in homogenously enhancing mass seen in subhepatatic region and is seen abutting with, and invading lever and also occupying rt adrenal region. There're also small nodular enhaning lesions seen surrounding the mass in liver. Main mass is10.24*7.28cm in size. Thrombus is seen in hepatic region of IVC measuring 3.57*2.21cm.

Opinion : FUC OF RIGHT NEPHRECTOMY, BILATERAL ADRENALECTOMY LARGE POORLY MARGINATED AND INHOMOGENOUSLY ENHANCING WITH THROMBUS IN IVC WITH SMALL NODULAR INHOMOGENOUSLY LESIONS SURROUNDING THE MAIN MASS IN LIVER鈥?SUGGESTIVE OF RECURRENCE OF THE LESION.

History : RT Nephrectomy, 2003, for Renal cell CA.LT Adrenalectomy 2004. RT Adrenalectomy, 2007.

Sympts : Cannot pass wind, Edema, Wt. Loss, Anorexia, Loss of diet. Haemoglobin =6.5.
ADVICE.

Appears to have spread. Whether it has also spread in other organs?

In the treatment by modern medicine concepts, for cancers of organs like lever, in addition to surgery, chemotherapy is also required.

It is normally not advisable to opt for either Onco-Surgery or Chemotherapy at an age of 70 years. At that age, the patient is physically and mentally can not cope with the same.

You may consider palliative treatment in emergencies. In addition, if you or your mother believe in Yoga-Pranayam and Auto Urine Therapy, same can be explored.

A part of the liver can be removed if it is a localized tumor. Many people make it through that surgery rather well. At the age of 70, it could be tricky, but any surgery is a major deal.

They are i hope giving blood as a Hemoglobin level of 6.5 is not very good.

These kind of big masses of cancer spread can't be removed, since not enough healthy-even if the CT doesn't show cancer spread, chances are the other parts of the liver are already diseased, and will show later in time - liver will be left. Also it is not localised, and general health is very poor, so won't survive such a big operation which I think is not even technically possible. If the primary kidney cancer is of the so called clear cell type, palliative therapy with a so called biological Sumatinib is at present the way to go: will prolong life (with about six months) and better the quality of life, but very expensive, and is no cure. Interferon doesn't work.

looks like rt renal tumour has recurred and has spread into liver.pretty advanced case.surgery doesnot seem to be an option.chemo isnot very usefull either.
pl consult medical oncologist about medroxy-progesterone acetate or some other palliation.
tata memorial will be the best choice.