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Pancreatic Cancer Q&A with Dr. Stauffer, Mayo Surgeon: May 29

Pancreatic Cancer | Last Active: 5 days ago | Replies (71)
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@mnewland99

Sorry, but I have another question, I had surgery (distal) in 2022 and liver lesion in 2023 that I got chemo for and then SBRT. 6 months after SBRT a new liver lesion, very small, occurred and my CA19-9 is about 284 now. My drs fear I might also have it elsewhere (abdominal, only) since they think my number is too high for just that one about 1.2cm. Would it be appropriate to do a ERCP to find other areas? My dr at HOPE in Irvine, CA says no, but I’m not sure about that, what’s your opinion?

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Replies to "Sorry, but I have another question, I had surgery (distal) in 2022 and liver lesion in..."
John Stauffer, MD | @johnstauffermd | May 29 1:11pm

I recommend a high quality MRI which is the best modality (although also imperfect) to identify liver disease. While I agree that there is likely additional disease, close follow up while on systemic therapy is warranted and aggressive treatment of single isolated lesions can be justified if no further sites of disease are identified.

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