Hello Dr  ,       am an Egyptian citizen and my 65 years old dad suffers from Hepatitis C , Liver cirrhosis and a two cm focus suggested to be Hc with past history of heart attack. We have been searching for the perfect procedure to treat him but doctors cant define which really suits his case . It would be very great if you checked the meassage and sent me back.If you Dr need more info or reports id be gratefully sending it to you by mail if you wrote it for meThanks alotWith regards          Engy Sawah            YYYY@YYYY
Dear Mr Envy, How are you? I am so sorry to hear about your fathers' diagnosis. Hepatitis C and Cirrhosis are both risk factors for development of cancer of the liver (HCC). The treatment options for someone with HCC depends on multiple factors 1) Patient condition (age, physical fitness) 2) whether the liver is healthy or not (normal liver vs cirrhotic liver) and 3) when patient has cirrhosis, the clinical stage of cirrhosis (early, asymptomatic vs late stage cirrhosis with fluid in belly). Normally up to 70% of liver can be surgically removed safely without any problems for the patient. But in a patient with cirrhosis, only 30-40% can be removed, that too, only if the patient is asymptomatic and his blood tests are normal. In a patient with abnormal blood tests or fluid in belly or portal hypertension (omitting of blood), then surgical resection is totally contraindicated. In case of your father, I would like to know more about his blood tests, whether he has any symptoms and also the size of the HCC. Based on these the treatment options may include surgical resection, Radio frequency ablation (Burning of the tumor using probes), RACE (blocking the artery supplying the tumor) or even liver transplantation (age and previous heart attack make him a poor candidate. Please do contact me with his blood and imaging reports, so I can guide you to the best possible treatment - rxsuresh@gmail.com. Hope this helps and hope your dad gets to feel better.