<s>[INST] Hello, I have been diagnosed with gall bladder cancer. doctors here in mumbai say it is affecting my gall bladder, part of liver, and some lymph nodes. they say it is a marginal case.. surgery is possible but there are risks. i am 56 years old. i have jaundice. my hepatic ducts are dilated... the tumor has constricted my bile duct just below the confluence. i will need ERCP. I need advice on what to do. [/INST] Welcome to H.C.M. I am Dr Krishna Dubey.Your doctor is right that surgery is possible but there are risk.Oncologist in Mumbai are good usually Tata Memorial Hospital.You can believe on them for best management.In such cases surgery also depend on patient internal condition and cancer spreadseen during surgery on surgery tabel.Go for ERCP as your doctor suggested for further planning.All the very best. Thanx for query. </s>