Hi, How are you? Thanks for writing into HCM. My name is Dr Suresh Raghavaiah. I am a liver cancer specialist and I hope to answer your question today. I am so sorry to hear about your mother s diagnosis. I know that dealing with cancer can be difficult but hopefully we should be able to provide her with the correct treatment. The treatment of Liver cancer depends on various factors. The physical condition of the patient obviously is the primary factor - if she is too weak to tolerate a big surgery or if she has a heart condition, then this would be a relative contraindication for surgery. The next important thing to consider is the condition of the rest of the liver. If the rest of the liver is healthy i,e no cirrhosis, hepatitis or tumors , then the size of the tumor by itself is not a contraindication. I have personally removed tumors as big as 20cm from the liver without any problem. if the tumor is too big, then we routinely use techniques which shrink the size of the tumor before surgery and also techniques to increase the size of the liver which will be left behind after surgery. But all of this can be done only if it is going to help the patient. The best person to judge your mother s condition is obviously the primary physician who is taking care of her. It would be a great help for me if you could upload some of her scan images so that I can guide you better. Also please let me know where you are located so I can refer you a specialist doctor in your area. Hope this helps and hope your Mother starts feeling better Dr Suresh Raghavaiah