Tissue diagnosis report not seen .
The please share CA 19.9 , CEA , and biopsy report if any already done .
Considering this as a malignant disease of pancreas (primary), with
liver metastasis - it will Stage IV .
Treatment plan should be decided considering patients health status also ( performance status for which I need more history )
Mostly considering the stage chemotherapy will be the first treatment considered after getting a tissue confirmation . The intent of treatment may be kept as palliative rather than radical .