<s>[INST] I have a friend who had breast cancer 5 years ago and was told that it came back in her liver....just two weeks ago. Has numerous spots and doctor told her that she may have 5 years left. My cousin had liver cancer as well with numerouse spots on her liver and had the alpps procedure done (4th patient in North America) at the London University Hospital in London, oNtario. My friend is in 4th stage cancer......can this alpps also be done for her? [/INST] Hi, if your cousin has few spots in liver and that is the only site of breast cancer coming back, I mean, she doesn't have any other area like lung or bone involved, she can also be considered for ALLPS. If the disease burdon is too much or also involving other places, like lungs or bones, she will need chemotherapy. Take care. </s>