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@mrajat

Ah I see. But you don't think the ill effects of keeping tumor in there might outweigh the downside of delaying chemo by 2 months?
I got repeat blood work and my CA19-9 increased from 153 to 177 in 11 days, so that makes me think the tumor isn't as aggressive as what I have heard in some other cases.

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Replies to "Ah I see. But you don't think the ill effects of keeping tumor in there might..."

Oh ok. Forgot you said you were able to have surgery very quickly at MSK. In that case I would do surgery then chemo after. It's a tough decision. I would get multiple recommendations and move rapidly either way.