I am so sorry to hear that your cancer has spread to your pancreas. This is a serious development.
Maybe now is the time to approach your doctor regarding more experimental phase 1-2 trials to see if any might be of benefit to you. Have you thought of participating in any of the vaccine trials?
Here is one that you might consider looking into.
http://www.her2support.org/vbulletin...ad.php?t=26934
At a minimum the vacination won't hurt you and it's easy to take physically. This particular vaccine appears to have synergy with Herceptin to increase it's potency.
You should also read the "news" page of this forum and see if there is anything that sounds useful that you might want to bring to your doctor's attention for comment. Because we have a rarer form of cancer - some doctors might not be as versed in all the latest developments around it. Some doctors might concentrate their reading & study times with the more common cancer forms that would benefit the majority of their patients.
I think that it helps to be a strong self-advocate.
I wish you courage and luck on this journey.
Regards,
Merridith