Dear All, My 4 1/2 year old fuzzy had a bilateral adrenalectomy last Sept, from which she seemed to have recovered well. But the lab said the right gland had carcinoma, extending to the edge of the removed section, so we knew the cancer might still be in Rosie. At her yearly exam, yesterday, her vet ran a blood workup, and he let us know that her ALT enzyme was at 343, which is apparently way higher than normal, and way higher than her September number (176). The vet says this could be a sign of a liver problem, including the possibility that the cancer has spread to the liver. We're going in to have an ultrasound done, at which point he'll give us more of an idea of possible prognoses and what his recommendations are. I've looked on the net, but there's not much info on liver diseases, so I thought I'd ask here for advice regarding liver disease in general, cancer in the liver, and general thoughts on surgery vs. medicine in older ferrets who have already been through one serious surgery. (The one in September was hard on Rosie, and I'd rather not put her through that again if it's likely to only give her an extra month or so.) Thanks in advance, Erica [Posted in FML issue 2662]