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Decided not to have surgery. What’s next?

Pancreatic Cancer | Last Active: May 5 11:48pm | Replies (44)

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@ashley2235

No. None of us had chemo after surgery. Which I think is not the correct treatment plan. I was told clear margins, no lymph nodes, complete pathological response. Thus no need for additional chemo. I asked 3 oncologists, and all said no chemo needed. Seems for PC, every patient should do adjuvant chemo following surgery due to high likelihood of micrometastasis.

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Replies to "No. None of us had chemo after surgery. Which I think is not the correct treatment..."

Hi Ashley,
I had 1 lymph node that test positive out of 25. 4.5 months after my last round (12) of fulfirnox chemo it spread. What mutation did you have? And how many lymph nodes did they test during surgery? I’ve only had GAC chemo since January 2024 and now my cancer antigen is 22 or below the upper limit of normal for ca19-9 test. I’m 66 years old and I do now have type 1 diabetes, but feel great! I hope the same and better for you, but I feel these are important questions to ask your dr.

My surgeon strongly recommended chemo post surgery… at least 6 rounds of it.