20. He suffers from a very serious medical condition, a large hepatic tumour. There is a very poor prognosis as the condition is advanced. This condition is related to hepatitis B infection, a condition from which Mr Li has probably suffered since birth or, at least, since early childhood. The large hepatic tumour is in the area of the liver, and it would be very difficult to access surgically. There has been considerable debate as to whether Mr Li should or could undergo what is known as a TACE procedure. At first it was thought that that procedure would be beneficial. Then it was thought that the procedure should not be undertaken because of the low chance of success. When the matter was last before me a month ago, it was thought that the TACE procedure should be undertaken but was associated with a very significant risk of mortality. If that risk did not materialise, then the offender would be in hospital for four or five days. However, given the very substantial risk, the offender has decided that he will not consent to that procedure. He would rather live out his short remaining life in the hope that he can return to China before he dies.