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Why surgery first vs chemo/radiarion first?

Pancreatic Cancer | Last Active: Jun 28 9:17pm | Replies (18)

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@stageivsurvivor

Your surgeon is likely opting for surgery first due to the tumor impacting the bile and pancreatic ducts. In my case the tumor was thought to be very close to my portal vein and conventional wisdom was to prevent the tumor from further impacting critical structures and becoming inoperable. There is no guarantee the chemo regimen used (generally Folfirinox) for curative intent will be therapeutic. If it is not and the tumor progresses, then the opportunity to perform surgery is lost and it comes down to trying another chemotherapy regimen and doing aggressive chemotherapy. Presently there are only thee, first-line regimens.

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Replies to "Your surgeon is likely opting for surgery first due to the tumor impacting the bile and..."

I did find a video that mirrored my story. It would seem the tumor I have that pushed closed the ducts is common enough that a video was made.


I have no information on what Chemo I will be given.

I just read your profile and see you are a 12 year stage 4 survivor and had the Whipple surgery. Thank you for the information you posted and best of luck to you going forward with this,