A member asked:

What is the next treatment when the cancer of the liver spreads to the ribs?

A doctor has provided 1 answer

Does not: Two types of liver cancer. Primary hepatoma and metastatic Ca to liver from colon, lung, etc. Hepatoma usually from cirrhosis spreads via portal veins to other sites in liver and never to bone. Metastatic disease to liver is clonal and what spreads to liver can only spread in hepatic tissue. If rib mets noted with liver disease, then a primary arising outside liver has spread metachronously .

Answered 6/12/2017

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