saying 4th stage(liver
spread from esophaghus primary) is very dismal disease per say. after chemotherapy
,primary disease response well but progression at liver site is a not good finding. if patient is not affording for Herceptin
then patient can be shifted to cheaper chemotherapy like XELODA(CAPECITABINE) as single agent chemotherapy as it is in oral form and side effect profile is also not bad. finally its a matter of best supportive case only as patient will die because of ALTER LIVER PROFILE with raised jaundice
,.hope for the best as chemotherapy only extent life with some extend only.