Pancreatic Cancer Group: Introduce yourself and connect with others

Welcome to the Pancreatic Cancer group on Mayo Clinic Connect.
This is a welcoming, safe place where you can meet people living with pancreatic cancer or caring for someone with pancreatic cancer. Let’s learn from each other and share stories about living well with cancer, coping with the challenges and offering tips.

I’m Colleen, and I’m the moderator of this group, and Community Director of Connect. Chances are you’ll to be greeted by fellow members and volunteer patient Mentors, when you post to this group. Learn more about Moderators and Volunteer Mentors on Connect.

We look forward to welcoming you and introducing you to other members. Feel free to browse the topics or start a new one.

Pull up a chair. Let's start with introductions.

When were you diagnosed with pancreatic cancer? What treatments have you had? How are you doing?

Interested in more discussions like this? Go to the Pancreatic Cancer Support Group.

@yliddy

Good morning! Thank you for responding. Almost identical story, I just met with my medical oncologist yesterday at Memorial Sloan Kettering. I am staged at 2b, 1.5 cm of my 5.5 cm mass was cancerous with one lymph node involvement. The surgery was really a breeze to be honest. I had a distal pancreateomy/splenectomy and gallbladder removal on May 29. My surgeon was amazing, I had zero problems, was discharged within 3 days and back walking 3-5 miles per day within a week. My surgeon was convinced the tumor was non-cancerous. Oh well, yes, I would love to hear about your side effects on the chemo. For instance, my treatment will be Monday with disconnection of pump on Wednesdays (I believe my daughter, an RN, will be able to do this as opposed to going back to MSK), how many days after your treatment did you feel awful! Also, were you on any supplements and did you get accupuncture? Any insight would be much appreciated. I am so happy that you are doing well!!!

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So sorry to hear about your diagnosis. my surgical experience was similar to yours.

The first chem infusion was the worst. I’m not sure if they give limited supplements to assess how you react. I had my chemo on Friday and went back rxon Sunday to have it disconnected and to have a Neulasta (which raises your white blood cell counts installed on my arm (it is a shot that cannot be administered until 46 hours after chemo. I highly recommended mend the Neulasta to as it helps your immune system and prevents Neutropnia during the six months of chemo.

I worked throughout my chemo, with the exception of the day of and Monday after. It became more difficult as it went on as side effects are cumulative.

I had pretty difficult nausea which resulted in aversion to eating and pretty severe weight loss. It was actually call chemo driven anorexia. Had pre-treatment drugs when I arrived for chemo, which I believe is standard. As my post chemo nausea was pretty severe. My oncologist added Olanzpine (an anti psychotic med that helps to increase your appetite. It worked very well for me. I am going to continue on a separate post S I have to step away for a bit.

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@mimimmx

So sorry to hear about your diagnosis. my surgical experience was similar to yours.

The first chem infusion was the worst. I’m not sure if they give limited supplements to assess how you react. I had my chemo on Friday and went back rxon Sunday to have it disconnected and to have a Neulasta (which raises your white blood cell counts installed on my arm (it is a shot that cannot be administered until 46 hours after chemo. I highly recommended mend the Neulasta to as it helps your immune system and prevents Neutropnia during the six months of chemo.

I worked throughout my chemo, with the exception of the day of and Monday after. It became more difficult as it went on as side effects are cumulative.

I had pretty difficult nausea which resulted in aversion to eating and pretty severe weight loss. It was actually call chemo driven anorexia. Had pre-treatment drugs when I arrived for chemo, which I believe is standard. As my post chemo nausea was pretty severe. My oncologist added Olanzpine (an anti psychotic med that helps to increase your appetite. It worked very well for me. I am going to continue on a separate post S I have to step away for a bit.

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Thank you for letting me know your experience. I guess everyone's is a little different. Were you on the Fluorouracil regimen? My doctor says I will have that, Irinotecan; Oxaliplatin and Leucovorin. I'm having my post surgical CT scan 7/9; port on 7/10 and then begin on 7/15. How was your post surgery bloodwork, especially the CA-19, if you don't mind me asking? Again, I know that everyone's journey is so different, I assisted my brother through his 4.5 year battle with stage 4 metastatic colon cancer. He was a warrior with little to no side effects until his liver surgery which really destroyed him unfortunately. I am glad that it appears this was caught early enough, for both of us, that treatment is available. Any other advice or just thoughts much appreciated. I am trying to put on a little bit of weight prior to starting, I'm only about 8 pounds off of my normal which is about 145. I got down to 133 after surgery but I had been losing some weight prior to surgery because of my gallbladder issues. I refused to eat anything with too much fat content or I would have a gallbladder attack. I had a cheeseburger for the first time last night in 6 months and it was heaven! I haven't eaten beef since January, only fish and chicken. I was 138 this morning, so I'm pushing for another 5-6 pounds before 7/15!

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@stageivsurvivor

To comment on the observation about doing neoadjuvent chemo even though the tumor was small, unlike other solid tumor types, pancreatic cancer is the one results in metastatic disease much sooner. In my 12 years as a survivor, I have seen many cases where the tumor was stage I, surgery was performed and restaged with metastatic disease within 2 years. Having a Whipple or distal pancreatectomy with splenectomy is half the equation.

Just this morning I was reading about a study done at Yale from 2014-2021 using Folfirinox in the neoadjuvant setting being beneficial. It was published in the Journal of the American Medical Association-Oncology.

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Thanks, I guess every surgeon and oncology team has their own reasoning. I was just surprised because my tumor was 5.5 mm, however, based upon the scans, bloodwork, etc. the team at MSK was convinced it was pre-cancerous. Now we didn't do a biopsy as he felt there are a lot of false/negative and/or false positive. Regardless I wanted this thing out of my body! I am so happy that you are a 12 year survivor, that's amazing and a testament not only to the strides that the medical field is making but your obvious strength and determination. Bravo!!!

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@bwquartertide

Hello,
I wanted to check to see what everyone’s thoughts were on my mom. She was diagnosed in March 2024 with pancreatic cancer. Tumor about 2.5 cm at the head of the pancreas. The surgeon has informed us that it is resectable based on imaging. No metastatic disease seen on imaging, or micro cytology of abdominal washing.
Chemo was advised first. Then surgery, then more chemo.
Her tumor markers are “normal” under 30 now, tumor size unchanged. My question is: Is there a benefit to waiting and continuing more chemotherapy to 7/16/24? Then surgery 8/20/24-
Whipple. She continues to get weaker and loose weight.

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Where is mother being treated?

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@happyjack

All the luck to you and your bucket list. I was able to do the things I wanted to do when I was younger and healthy. No bucket list for me other than spending time with my family.

As far as low-fat diet goes and Creon, I never thought that Creon was not a complete replacement therapy. Not sure if what you were saying is Creon is not complete replacement therapy and we then all need to have a low-fat diet or problems will happen. And then as we are still not processing fat for all the stuff we need that we may also need other supplements. Doctor Ahmad advised to drink 3 protein/nutrition shakes a day. I use the Boost Glucose control ones. I was asking about how I could heal faster and better and that was the doctors reply. I just maybe did not think that maybe I would always have trouble with digesting fat going forward.

Hope you have many more quality years.

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Happyjack,
I also feel like I was able to do many things I liked when I was young and healthy; although a broke college student for many years, however with income from sale of my home I have a bit to splurge now. I typically stay away from fat just because it’s so unhealthy. I did go on Creon for about 6-7 months after my surgery, but I no longer take it now. Protein shakes are a great resource following chemo sessions when I don’t feel like eating any heavy type foods. I buy my own vegan protein, almond milk, and Hersheys powder cocoa and 3 ice cubes and blend. I like to make a lot of my own food since I know it’s free of most additives and preservatives. I try to drink 1 shake per day but if I don’t , I’ll eat eggs and low sugar Chobani yogurt to try and get my share of protein for the day.
I also wish you much more quality time to spend with your sons and hopefully for a cure!

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@mnewland99

Happyjack,
I also feel like I was able to do many things I liked when I was young and healthy; although a broke college student for many years, however with income from sale of my home I have a bit to splurge now. I typically stay away from fat just because it’s so unhealthy. I did go on Creon for about 6-7 months after my surgery, but I no longer take it now. Protein shakes are a great resource following chemo sessions when I don’t feel like eating any heavy type foods. I buy my own vegan protein, almond milk, and Hersheys powder cocoa and 3 ice cubes and blend. I like to make a lot of my own food since I know it’s free of most additives and preservatives. I try to drink 1 shake per day but if I don’t , I’ll eat eggs and low sugar Chobani yogurt to try and get my share of protein for the day.
I also wish you much more quality time to spend with your sons and hopefully for a cure!

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Fat is required for us all. I do agree that a lot of us, and me included, do eat more than we require and the fat that is not as good for us. I like it all. Meat lovers pizza all the way to olive oil egg white veggie omelet. And even a fresh salad dry with no dressing, and then back to Hog wild for BBQ. I take no fat Greek yogurt and add unsweetened apple sauce to it for a no fat breakfast with skim milk and toasted oats cereal. Then every once in a while, have bacon and eggs with potatoes and biscuit and sausage gravy. We do need fat and the Mayo Clinic provides a more specific range: 44 to 78 grams of fat per day for a 2,000-calorie diet2. And I love olive oil for chili and pizza I make. Had I not been able to digest waxy veggies with vitamin K my cancer would not have been found. They would still be telling me I was not digesting fat and getting the nutrients I needed from fats just because I was old. Again, the key part is that we need nutrients from fat.

I do now have a surgery date of July 12th for the Whipple. I hope that afterwards I will be able to get away from the Creon as it is expensive. And it does not work as well as I think it should.

And I do wish for a cure for all cancers. Take care and best of luck to everyone going forward with this.

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@mnewland99

Where is mother being treated?

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MD Anderson Cancer.
Jacksonville, Fl.

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@bwquartertide

MD Anderson Cancer.
Jacksonville, Fl.

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To bwquartertide,
Sounds like your mom is in a good facility. When you say your mom continues to lose weight- is she still at a weight that would be considered normal for her age and height? You will lose weight as a result of surgery. Due to complications (a leaking pancreatic duct and consequently no real food for about 4-5 weeks) I was on the verge of emaciation and almost not able to receive chemo after 2 cycles of chemo. Also lost weight trying to keep my blood sugars in the numbers endocrinologist was looking for. Following a long-term survivor/fellow diabetic’s advice I began to put my diabetes at the forefront of my battle and eat most anything. I gained almost my pre surgery weight back at 154 and I’m 5’4 and 66 years old. I’m losing a bit weight now (ok’d by my oncologist for just 10 pounds). I still feel weaker than I did before I ever became a stage 4, but you learn to adjust. Continue her mild exercise IF her dr approves it, even if it’s just riding a recumbent bike. I wish you and your mom well in your journey.

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Correction: I put my cancer at the forefront of my battle and diabetes at the back.

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I was diagnosed with Stage 2 Pancreatic Cancer…… my grandfather and an uncle had the same.
I’ve been reading as much as I can all the while trying not to cry
Looking forward to sharing / reading in this thread

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