The question of liver transplants has come up a number of times here in comments, as well as by email, in conversation, and elsewhere. In short, the basic issue with the idea of a transplant is that I'm a low probability beneficiary. The metastatic seeds are loose in my bloodstream and lymphatic system. So a new liver would simply be recolonized by the tumors. Given the incredible shortage of organs available for transplant, and my likelihood of lack of long-term benefit, I'm too low priority to even make it on to a transplant list. Were I experiencing a primary liver cancer, I would in fact be a transplant candidate.