Best Spine Surgery doctors in Chennai

I am 69 years old female. Since 2-3weeks I was having pain in right pelvic region and slight low backache.. Other than that I had no any symptoms…I had significant weight loss but didn’t care about it much…10 days back I underwent MRI Lumbo-sacral spine with TIM which showed partial collapse of L1 vertebra showing heterogenous altered signal intensity with in an ill-defined lobulated lesion in right half of body of L1 vertebra suggestive of either being neoplastic or infective..Then I underwent PET-CECT which showed Hypermetabolic lesion involving almost entire caudate lobe of liver suggestive of primary liver malignancy i.e.Hepatocellular carcinoma and hypermetabolic metastatic purely lytic lesion with large soft tissue component in L1 vertebra… I never had alcohol or any HBV or HCV infection nor I am obese..And spinal metastatis is very rare from liver…Please give your expert opinion regarding this case.. what may be the cause and what investigations should I need to do further? Also please tell me about the treatment options I could have

Female | 69