@pcand52
I hope that your treatment was successful and that all is going well.

Chemo/radiation was offered as adjuvant therapy following surgery and 12 rounds of Folfirinox. My diagnosis was not made until after the tumor was surgically removed (distal pancreatectomy & splenectomy) as they could not get a good biopsy. The surgeon was confident that he could successfully remove the tumor. Most oncologists prefer chemo followed by surgery. However, in my case not knowing if it fact it was cancer, the decision was made to go forward with surgery. Unfortunately it was stage 3 adenocarcinoma so I then did the 6 months of chemo. Upon completing chemo I was offered the option to do chemo/radiation which involved taking capecitabine (oral form of 5-FU) and daily radiation for 4 weeks. The theory is the radiation targets the area where the tumor was removed with the aim of destroying any remaining microscopic cells that may remain. The capecitabine acts a a radiosensitizer making the cells more vulnerable to the radiation damage. I figured that having gone through 9 months of treatment I might as well go for it. One will never really know whether it added benefit. Although my margins were clear I had lymph node involvement so thought it best to do all I could. Hopefully this explains it for you. Best to you and good health