My Dad was diagnosed 2/12/13 with Stage 4 Adenocarcinoma with mets to liver. I am well aware that treatment for this stage is considered palliative, and once metastasized, the tumor is not considered resectable. However, through different forums and discussion boards, I have found several people diagnosed Stage 4 who received chemo until they were NED, and then went on to have the Whipple. I confirmed again that it was Stage 4 Adenocarcinoma originally. I'm try to find out what might have convinced a surgeon to operate in this case? By the way, these people are still alive (one five years past Stage 4 diagnosis at this point).