<s>[INST] recently my husband has been diagnosed with stage 4 esophageal cancer it has spread to his lungs and his liver and also his lymph nodes, i can get no answer will he survive this and if not how long does he have and what else can we do that we are not already [/INST] Stage 4 esophageal cancer with liver and lung metastasis is incurable. Treatment goal is palliative (symptomatic relief) to improve quality of life, progression free survival and overall survival. Treatment options include:1. Palliative chemotherapy 2. Palliative radiation therapy (if required)3. Endoscopic stenting to relieve esophageal obstruction (if necessary)4. PEG (percutaneous endoscopically gastrostomy) or image guided percutaneous gastrostomy for enteral feeding if you need arises. Please discuss it with your treating doctor. </s>