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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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@deborahz

I have been diagnosed with 40 and 50 cm duodenal adenoma with focal high grade dysplasia after an egd with emr on April 23 where the local doctor was unable to extract them. Surgeon locally recommended Whipple within 3 weeks. Went to Mayo in Rochester for a second opinion and am scheduled for another EMR with Mayo doctor on June 24. I'm hoping it is successful, but if not, are there any options other than the Whipple? If successful but cancer is found, is Whipple still the recommendation?

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Replies to "I have been diagnosed with 40 and 50 cm duodenal adenoma with focal high grade dysplasia..."
John Stauffer, MD | @johnstauffermd | May 29 12:37pm

I recommend a whipple if the next EMR finds HGD or the margin is still positive due to the risk of malignant degeneration. Duodenal cancer is very survivable if found and treated at this early stage but can lead to uncurable metastatic cancer if undertreated.

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