My dad (74) had surgery to remove bowel cancer which had spread to bladder back in January. The Christie hospital in Manchester was happy with the result, said all the cancer was removed.
Dad has been attending routine scans and checks since then and was contacted this week to say some "Speckles" have been found on latest scan of his liver. He's been recommended a 3 month course of chemo and this is due to start at the end of August.
Not sure if he's trying to downplay this so as not to worry others, but what are speckles in this context? If chemo being recommended I presume cancer has come back and is targeting his liver?
Can anybody please offer any insight?
I’m Anne, one of the Community Champions here on the Online Community and, although I'm not a member of this group, I noticed that your post hadn't had any replies yet. Responding to you will 'bump' it back to the top of the discussion list again.
If you don't get any replies here, it might be an idea to also post this in the bowel cancer group, where I can see you've posted before, and maybe also join and post in the secondary liver cancer group.
If you'd like to join the secondary liver cancer group, just click on the link I've created and, once you've joined, you can start a new post in the same way as you did here and join in with existing conversations by clicking on 'reply'.
Wishing you and your dad all the best
I am sorry your father and you are going through this. To add to what my colleague latchbrook has said, you might also get some suitable replies from people on the Bowel (colon and rectal) cancer forum . When cancer spreads from its primary location to other locations it is still the original cancer, and needs to be treated with things that work for that primary cancer. So if the speckles are small deposits of cancer, they will be of bowel cancer, and the chemo that’s being recommended will be suitable for bowel cancer that has spread. It’s not likely to be the same as the treatment for cancer that starts in the liver as that will have a different pathology. I have breast cancer that spread to my liver so my treatments are different again.

Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
I am a Macmillan volunteer.
I have metastatic Triple Negative Breast Cancer, in remission
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2026 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007