Liver tumor increasing in size, spreading. Quantiferon tb gold test positive. Diagnosed primary hepatocellular carcinoma, hcv. Advise?
Patient: my faher by MRI IN 2007 diagnosed primary hepatocellular carcinoma.no biopsy done,he has a HCV.all tumour marker -AFP,ALKALINE PHOSPHATASE,CEA,BILIRUBIN,ALL OTHER TEST are normal,exept sgot-126,sgpt-37,GGT-83,ESR-46.before 4 months all  lab almost normal,liver tumour increasing in size.now it spread in both adrenal glands & psoas as per MRI.weight reduced -5 kg,anorexia,diarrhoea,weakness start this is almost within 2-3 months.he is treated only with homeopathy,HCV VIRAL LOAD BY PCR -neg.I read in google some cases dx-hcc & then turned liver TB.he has a old lesion of pulmonary tb.now chest x-ray normal but QUANIFERON TB GOLD TEST-positive.this test does not diff. letant tb & active tb.  bl.culture neg.can you give us advised please.thanks.waiting for your answer. Doctor: Good morningYou need to urgently see oncologist and herpetologist(liver specialist).Your father has advanced cancer of the liver.The cancer has metastasis(spreading to other organs) sign of bad prognosis.He will also need counseling services by professional counselor.