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@gamaryanne

So much good insight here! Every single case is different and approaches are closely tied to your current health, genetic characteristics, involvement of lymph nodes, and location of primary tumor.
One approach has not been mentioned. It is nanoknife. Not all surgeons are trained in this method for the pancreas, as it is a newer approach . Even highly qualified surgeons at centers of excellence may not be doing it yet. Please look into this . Having very good success with less downtime.
Tumor testing can tell you which chemo treatment is likely to work better for you. In your case. You would not know until after surgery. But, a CT DNA test would be helpful to highlight if it is already in your bloodstream. This is done by a simple blood test. A PET scan should be suggested as well. With CT DNA positive, an active PET and CA19-9 marker, the doctors then have enough data points to make good assumption of local only, or some spread since a biopsy isn’t possible.
Statistics don’t tell the story. Survivors do! Plan to be one of the 13% that make it! You were diagnosed early and can do this!
I was “labeled” stage IV 3 years ago! It’s a journey for sure, but I have never stopped working, volunteering, and giving thanks to the Lord above for putting the right people in my path.
You can do this!

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Replies to "So much good insight here! Every single case is different and approaches are closely tied to..."

Thanks for sharing! It makes sense to do as much testing as possible. Although I don't understand why doctors aren't too keen on running these tests. I am seeing my surgeon later today and I am gonna ask him again.

It's encouraging to hear you have sustained through stage 4. Good luck and hang in there! Things have a way of working out.