Best supportive case is the only answer as bone metastasis
is stage 4 and , best supportive care means relieve of pain of bone spread and relieve of jaundice. for bone pain
, patient can be prescribe radiation therapy of short course followed by routine NSAID Pain killer and Morphin tablets by registered Oncologist
, and for relieve of raised bilirubin
because of obstructed bile duct by palliative 5FU based chemotherapy
after radiotherapy treatment provided general condition permits it.but in real sense its dismal disease we can only give symptomatic relief not any else except minimal 2-3 month survival with good quality of life.