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Hi this is Dr. Hill. That is a very difficult decision. I did exclusively emergency medicine for over 15 years and have seen a large number of splenic and hepatic tumors. It is extremely unusual to have a mass in both areas and for it to be benign. There is a high probability that removing the primary tumor in the spleen has given you quality time with him over the last 7 months and that now the metastatic nodule in the liver have grown to the point where they are rupturing and bleeding. It sounds like he was misdiagnosed. I am very sorry. Feel fee to ask follow up questions.