From personal experience: my 46 y/o brother was diagnosed in January 2007. He also has metastases to his liver. His local doctors were definitely not helpful or optimistic. Long story short, our sister found a highly recommended oncologist in Manhatten, Howard Bruckner, who has been a godsend for our family. After talking to Joe, looking at his blood tests, scans, etc., Dr. Bruckner offered him the first hope we'd heard. Joe had several heavy-duty chemo treatments every two weeks in NY and now is having them much closer to home in Indianapolis, again thanks to our sister who found an oncologist willing to use Dr. Bruckner's protocol. It all seems to be working as Joe's last two scans have shown the liver tumors to be shrinking. He is gaining weight and looks better than before he started the treatment.
So......there is hope and help out there. Any treatment, for any illness, of course depends on so many variables. Other health issues, age, etc.
There is an organization called PanCan which is very helpful. Also, I would recommend the Johns Hopkins pancreatic cancer message board for more info and doctor recommendations.
Good luck to your friend and to you.
Susan