I was diagnosed with acinar cell carcinoma of the pancreas in December 2024 They discovered it in a routine CT scan to follow progression of stage 4 lung cancer diagnosed in December 2023. The lung cancer diagnosis was based on a mediastinoscopy as non-small cell adenocarcinoma. I have been receiving nivolumab as immunotherapy for 2 years, and had ipilimumab for 18 months.
This Friday I will be undergoing a biopsy of the tumors and polyps in both lungs with a bronchial IR biopsy using robotics. I am currently receiving abraxane and gemcitabine chemo for the pancreatic cancer in hopes of shrinking the tumor away from the SMA and from around the SMV, in order to be a candidate for surgery, or reducing the size of the tumor from 4.2 cm to under 4.0, to be a candidate for Nano-knife procedure. I have had 3 cycles (2 treatments each) of the chemo with no significant change. I am in the midst of my 4th cycle and am scheduled for 3 more. Are there better options/types of chemo for this and is there immunotherapy that has been developed for pancreatic cancer?