Cancer found in gallbladder, possible spread to liver, now what?

Hello @steve90154 and welcome to Mayo Clinic Connect. Having your loved one go through all of this must be so difficult. It is great to see you reaching out and seeking connection with others.

You will notice I updated your title to allow for more people to join you based on their experience.

Are you able to be with your dad in the ICU? Have you been able to talk with his surgeon to learn if they were able to get all of the cancer from his liver and what the prognosis looks to be at this point?

Yes after 2 days in ICU they are shifting him to Bed. I had a word with the Surgeon he said they are waiting for the biopsy report which will come in 3 days till then they can't say anything. Report will decide weather Cancer was spread in the nodes they removed and liver sample they sent for the testing.

My father is feeling ok as of now they will give fluids to my father from today.

Hi Steve, I thought I would check in to see if you've learned anything new about your dad's gallbladder cancer.
I'm also tagging @pgf and @dougmcd who have experience with gallbladder cancer should you have questions.

Steve, what is the next step for your dad? Any treatment plan beyond surgery?

The biopsy report is still Pending and will take 3 more days. My father is discharged from the hospital and recovering at home. Everything depends upon the biopsy report How far the cancer is spread.

Hello
My wife had two different rounds of chemo to treat the cancer. She was Stage four. The chemo had no effect. The tumor tripled in size. The doctors told us there was nothing more to do so we went home and took care of her at home until she passed six weeks later. I wish my update was better but our journey was right months diagnosis to passing.
But. Don't give up until it's time.

They could not do surgery.

Doug, I'm so sorry to hear about the passing of your wife and just how quickly things progressed. I'm glad she was able to come home. Please know that your support needs can continue on Mayo Clinic Connect here and in the Loss & Grief group https://connect.mayoclinic.org/group/loss-grief/

Oh, Steve. Waiting is so hard. How is your dad feeling post surgery?

My father has been diagnosed with cancer, I need little help to understand his current condition and treatment advise. The origin of cancer is gallbladder, he had pain in his upper abdomen so we did ultrasound where we detect stones but some evidence of nodes as well. Then we did CT scan and found out that the lower part of liver is very much defected. Then we did Biopsy and he diagnosed with N1 malignant locally advanced cancer. His CA19-9 is above 6000. Now doctors are giving me 3 choices, First if you leave it as it is then the life expectancy could be around a year. Second if we go for surgery which is most likely not preferable by the doctors because according to them the cancer it seems to be spread very much and it looks like to be very less chance of complete extraction of cancer, as it seems like to be spread on microscopic level and if we go for surgery then the chances occurrence of cancer is very high and this time it could be more lethal as the patient is going through a major surgery (extraction of gallbladder and part of liver) this could drop the life expectancy to few months but as per rare circumstances by any chance if the surgery become a success then it could increase the life expectancy very much. THIRD option is to first go for chemo, but it a mutual consensus among our family to not to go for chemo before the surgery as we already suffering through a trauma of my mother's death due to breast cancer, she was also advised for first chemo before surgery and it went Miserable.

So my humble request to you all is to suggest me a very sane decision keeping in mind the above scenarios. Thanking you all in advance for the generosity.

CA19-9 above 6000
locally advanced N1 cancer
origin gallbladder
stones in gallbladder
adjacent defected organ is liver

**** I am attaching CT scan and Biopsy report

How old is your father? Is he able to weigh in about what he wants to do? Do you know what his wishes might be? It sounds as if the family is caring and looking for a good decision. Since we're not medical professionals here, I can't respond on the scan and biopsy level. But on the emotional level, it seems you might be leaning towards the first option. If so, get palliative care and hospice in place so you have enough support. You might also ask a third party--like a social worker or a clergy person--to help clarify how this decision would work. But a lot should depend on what your father prefers. Does he have any written directives? I hope things go smoothly, and that you get helpful answers.