<s>[INST] dr. my sister just had a right colon resection for a carcinoid tumor i april 2011 at the time she had 2 spots on the liver that were biopsied.had a ct scan 6 monthes later and has 3 areas onthe liver.she then had an ostreotide test done and just got results = 1 of the lesions is positive for carcinoid it is 1cm.What is your best recommendation now? i would appreciate you advise,thank you. [/INST] Thanks for your question on Chat Doctor. I can understand your situation and problem. But carcinoid tumors are very notorious in spread and recurrence. And liver metastases are very common. The treatment of isolated liver metastasis is surgical removal. It is known as metastesectomy. In this unblock resection of nodule with negative margin is done. So better to consult oncosurgeon first. And discuss all these. </s>