I wish there was a way to give you a clearer picture. From what you describe, your brother is younger than average for this cancer and his doctors have given him an aggressive regimen of treatment to confront the cancer. These are positive indications, but this cancer can be unpredictable (like most things in life) so there is no way to know exactly what his future path will be. We do have long-term survivors for whom this cancer becomes like a chronic illness with ups and downs, but there are also cases where the cancer regrettably can move more quickly.
If your brother stops responding to one chemo, there are others that will be tried. There are other potential treatments in the arsenel, such as various radiation approaches, targeted treatments if he has been identified to have a genomic mutation involved in his cancer, and new treatments now in testing that are available by joining a clinical trial.
Thanks for the note. What is the typical prognosis for someone with Stage 4? Thus far it has almost been a year from the diagnosis. What happens if he stops responding to Chemo? I guess there is so much unknown and it scares me.
Wally, I know a woman who has done all these treatments with stage 4 diagnosis and she has done remarkably well. She has travelled and lived well for some years since treatment and has enjoyed NED status ( no evidence of disease ) for maybe four years and counting. It is possible so keep the faith and tell your friend to remain strong, her name is Christie and she posts on the facebook group . She was treated at the Cleveland Clinic as I was , her chemo ended but every case is different , I wish your friend the best outcome, Pat
Had a question. Someone close to me has stage 4 bile duct cancer. He has done chemo, resection/HIPEC and targeted radiation. The doctor wants him to continue chemo going forward. Is this something he has to always do? Or will his cancer ever go away?