My mom was diagnosed with liver cancer stage 4 with metastatic tumor in her spine (t5). oct 19 she had the tumor removed. what should we do the next?

Listen to your doc: This is grim. What are her chances of 1 and 5 year survival? Further surgery should be considered in light of these numbers. What is the importance of quantity versus quality of life? Your local doc will always be able to answer questions better than us internet docs.

Consider chemo: I am sorry to hear about this situation. In oncology, problems are either "local" or "systemic." local problems need surgery or radiation, systemic problems need chemotherapy. You mother sounds like she had the local treatment with surgery, but will need to consider chemotherapy for the issue of metastasis. Without further details, a complete answer is difficult. Best of luck to you.

Definitions please: Just to be clear, is it a cancer that started in the liver or a cancer that spread to the liver? Primary liver cancer can be treated with targeted therapy, a new generation of molecular medicines. See here: http://bit.Ly/ryvgwy if it is cancer from another organ that spread to liver, then therapy is based on the site of origin. Suggest ask questions here: http://bit.Ly/ryvuwr @drsteventucker.