Bilirubin 74 in metastic colon cancer pt, what does this mean ?

Not good: mean the cancer most likely in the liver and is advancing. soory, not a good sign.

Uncertain: This sounds like an extraordinarily high value, and indicates either blockage if the bile flowing out of the liver, or failing liver function. It may or may not be due to the cancer, but is typically an ominous sign. Talk more about this with the treating physician. Hope this helps!