<s>[INST] My husband has stage 4 esophageal cancer that has spread to a lot of his liver, spread also to the lymph nodes, bloodstream and 3 spots on the lungs. He is taking palliative chemotherapy only.  How long has he got left,  We want to know so that we can get our affairs in order. [/INST] Chemo may be given (possibly along with the targeted drug trastuzumab if the cancer is HER2 positive) to try to help patients feel better and live longer, but the benefit of giving chemo is not clear. Radiation therapy or other treatments may be used to help with pain or trouble swallowing.For cancers that started at the gastroesophageal (GE) junction, treatment with the targeted drug ramucirumab (Cyramza) may be an option at some point. It can be given by itself or combined with chemo. so in 4 th stage only give in palliative treatment .if you r interested in Homoeopathy so in homeopathy medicine r working in good result for this type of cases. </s>