@hubby11
So very sorry to read this. Stage IV are words no one is prepared to hear. I heard them 11/2021.
Dittos to all @markymark shared. The biopsy to liver will confirm the pancreatic cancer without going to the pancreas. Quite surprised they would say no surgery with tumor lying in body. However, curing/stabilizing the disease is the first priority. Systemic chemo is the only available way to do this right now.
I can tell you my situation was similar. Tumors in my liver were the mass of a baseball! Through system therapy and an interventional radiation procedure, they shrunk and most died to the point that I was able to have liver resection. To get to surgery took time and lots of chemo! My pancreas surgery was 12/2022 and my liver surgery was 2/2023.
With your wife’s other conditions they will monitor closely. At a good center, chemo doesn’t have to be too awful. They will give her pre-meds to lessen the side effects and she will have days of fatigue. But it doesn’t have to limit her from most of her daily activities IF she has the will to live and to fight! My thoughts-start chemo immediately and confirm both tumor and genetic testing are underway. May God bless you as you start on this journey💜