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

### input:
Hi my mum is 78 years old and has been diagnosed with liver cancer, the hospital are not offering surgery or chemo but may offer palliative chemo the tumor is large and has been there for some time, she is losing weight fast but as yet not gone jaundice. Thanks

### output:

Hi, How are you? Thanks for writing into Chat Doctor. My name is Chat Doctor.  I am a liver cancer specialist and I hope to answer your question today. I am so sorry to hear about your mothers' diagnosis. Furthermore, 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 20 cm 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 mothers 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