Thank you for your reply. The appointment with oncologist went well. He spent 50 minutes with us explaining treatments and answering our questions.

Since my husband has liver transplant in 2021 he gets quarterly scans and CA 19-9 labs. They started climbing last year but nothing was showing up on scans. His CA 19-9 was 10,200 on June 14 and is now 15,000+ 9 days later when they took again. So while imaging isn’t showing much some tissue samples taken when they did an endoscopy by pancreatic head came back cancerous. They are going to redo an MRI and PET scan to get proper staging. It’s obviously hiding somewhere.

Chemo will start 7/9 and they recommend the two drug combo of Gemcitabine and Abraxine. He’ll go weekly for three weeks and then have a week off. And repeat cycle twice more so total of three months.

He mentioned the option of a four drug combo but was concerned about it being hard on him and didn’t want him to end up in the hospital.

It is good to know we have a plan now and looking forward to updated scan image results.