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Why surgery first vs chemo/radiarion first?

Pancreatic Cancer | Last Active: 2 days ago | Replies (18)

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@yliddy

My experience, I had a 5.5 cm cyst on the tail. My surgeon at MSK and his team were convinced, also CT/MRI/Blood all indicated benign or pre-cancerous. No neoadjuvant therapy. I had the distal pancreateomy performed, with removal of spleen and gallbladder. Turns out 1.5 cm of my cyst was cancerous and it was in one lymph node. I'm starting chemo 7/15/24. I know that there are some doctors who prefer to do the neoadjuvant chemo, surgery and then adjuvant chemo. I guess it all depends. Mine was understandable, but if your already showing cancer, you may want a second opinion on whether you should have neoadjuvant therapy....good luck to you!

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Replies to "My experience, I had a 5.5 cm cyst on the tail. My surgeon at MSK and..."

Thank you for the good wishes. Doctor said blood cancer markers were 1500-1600. Said that did indicate cancer as it was high. Not sure exactly what that test was. They do know I have a tumor in the head of my pancreas at the junction of the liver duct and pancreas duct. I am not sure the reason for not having neoadjuvant treatment. Just a guess in that the wait time would be long. I feel that it may have already spread. I would have had more confidence if this all would have taken place 6 months ago when I started having trouble. They will be taking lymph nodes also when they do the Whipple. I guess I will find out in a little over 2 weeks. Best of luck to you with your chemo.