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Has anyone had ampullary cancer and had the Whipple Procedure?
Posted by reiki234 @reiki234, 5 days ago
I was diagnosed with ampullary cancer as I had a blockage to my bile duct and had the Whipple Procedure which I am recuperating from and it has been 6 weeks recovery this week. Luckily the mass (stage 2) was taken out and it did not go beyond the margins and my 16 lymph nodes are fine. So technically at this point I am cancer free or in remission. I was referred to a cancer specialist to talk about preventative cancer which would be a 6month aggressive chemo and radiation treatments. If I have the treatment I asked what would be the recurrence factor and the doctor says 50/50. I also add that there is no real data for patients with this cancer as my doctor told me as it is a rare cancer but not uncommon. Please let me know if you have any insights regarding this type of cancer and your thoughts would be appreciated. Thank you!

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Replies to "Has anyone had ampullary cancer and had the Whipple Procedure? Posted by reiki234 @reiki234, 5 days..."

I am glad you are doing well after surgery. In general, every patient is different, and each tumor has its own biology that requires individualized treatment. I usually recommend to my patients with tumors in the pancreas, bile duct, or ampulla that surgery alone is not curative; treatment usually requires a combination of surgery (to remove the tumor where it is and sample lymph nodes) and chemotherapy to prevent the tumor from coming back. Patients with the best survival are mainly those treated with both chemotherapy and surgery. While I cannot speak to the exact reason that radiation was recommended after your operation, we tend to reserve these for patients with tumor that has been left behind (a positive margin). However, this also requires an individualized discussion with a radiation oncologist. If there is any uncertainty about the plan, I never hesitate to have a patient get a second opinion (whether it is about surgery, chemotherapy, or radiation).