### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
CT SCAN STUDY REVEALS. IMAGING FEATURES SUGGESTIVE OF MULTIFOCAL PRIMARY MALIGNANT NEOPLASTIC PROCESS INVOLVING THE LIVER PARENCHYMA-MULTIFOCAL HCC (HEPATO CELLULAR CARCINOMA) SEEMS MOST LIKELY. BACKGROUND CHANGES OF LIVER CIRRHOSIS ARE SEEN. GALL BLADDER EXHIBITS HIGH DENSITY SLUDGE  TINY CALCULI,MILD PROSTATOMEGALY WITH DETRUSOR HYPERTROPHY AND SMAL VENTRAL UMBILICAL HERNIA ARE SEEN.ALPHA FETO PROTEAIN = 338.84 , 564.51 , 636.32 HOW CAN WE BRING DOWN ALPHA FETO PROTEIN LEVELS?

### output:

Hi, Alpha photo protein (AFP) is a substance produced by the liver, normally in very small amounts. But the levels go up in cases of heat cellular cancer (HCC). The CT report is suggestive of HCC and is probably the reason why the AFP levels are high. The term multi focal HCC suggests there are more than one lesion in the liver. The most curative form of therapy for HCC is surgery. But given that there is background cirrhosis of the liver, this might not be feasible in your patient. The best treatment in this scenario would be a Liver transplant (provided the ChatDoctoreet certain criteria). This would not only get rid of all the cancer, but also replace the cirrhotic liver with a new healthy liver. If a liver transplant is not feasible, either because of patient factors (age, other health conditions, cost) or because of extensive disease, then other choices for treatment include radio frequency ablation of the cancer, Trans cutaneous chemo- embolization (RACE - where the blood supply to the tumor is selectively cut off) or per cutaneous injection of alcohol into the lesions. Once the cancer gets treated, the AFP levels will spontaneously decrease and then the levels can be used to monitor for recurrence of cancer. Hope this helps, and please do not hesitate to contact me for further details - rxsuresh@gmail.com