[Brian]

Dear Julierene:

Be sure that just because a liver met has returned, it does not mean that you are without options. First, remember that if you have had liver mets in the past there may be some scar tissue that is showing up on your scan. Often this is the case. There is only one sure way to know which is via liver biopsy. My wife has had two of those, and although they are not pleasant they will give you the information you need.

Secondly, you may want to see if your Dr. will allow you to have RFA (Radio Frequency Ablation) to the tumor. Since the tumor is small and isolated it could be RFA'd and you would be NED at completion. My wife has had two liver surgeries both of which included RFA and excision. In both cases she had long post surgery remissions.

At this point my wife is NED and she is in her 15th year of survival, 5th post Stage IV diagnosis.

Also different types of Chemo are available.

Good Luck and God Bless

Brian and Lisa