Hi, How are you? My name is Dr Suresh Raghavaiah. I am a Liver and Pancreas cancer specialist and I hope to answer your question today. I am so sorry to hear about your patient s diagnosis. The best treatment available for HCC is surgical resection. I understand that within a month of first surgery, there is recurrence of the tumor. This could either be due to incomplete surgery the first time, or due to rapid occurrence of a new tumor. The treatment will now depend on how fit the patient is, How much liver is left behind and what the quality of the remnant liver is. If the liver is normal (without cirrhosis), then I would do a repeat surgery to remove the tumour, provided the amount of liver left behind will be suffecient to carry out the functions. If by scanning, it appears that the remnant liver will not be suffecient, then there are various techniques like RFA, TACE, TARE etc which can be considered. But still Surgery will be the first choice. Hope this helps and hope your patient starts to feel better. Please do not hesitate to contact me for further details. rxsuresh@gmail.com Have a great day Dr Suresh Raghavaiah