← Return to Anyone on Gemcitabine with Abraxane? How long? Effective?

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Profile picture for baravelli @baravelli

I was dx Stage 1 in April 2024. I rec'd 6 gem/abrax infusions every other week then had Whipple to remove the small adenocarcinoma on the head of my pancreas. 2 of 18 lymph glands were "involved". Started same chemo schedule post op and was "cleared" by end of Feb 2025. Mid Sept 2026 CA 19-9 jumped from 15 to 264. Over 6 mos! Sept CT showed nodules in both lungs. Largest was 8mm. Repeated CT of lungs only 3.5 weeks later. No change. So the CT in July did not show nodules then 90 days later 8mm nodules appeared??? I was told that we should wait until the largest nodule is 10mm before we can biopsy to see if it's pan-can or lung. Only side effects from gem/abrex was hair loss. & Low grade fever 2nd day post chemo with body aches that were tolerable for 1 - 2 days. I will be 79 this month and I thought early intervention was going to be my golden ticket! I look back and wonder if my chemo was strong enough? The last 18 months have been a large amount of Drs visits, iron infusions , (1 2)CTs, MRIs port maintenance every 90 days, dieticians, nutritionists , PT, therapists, device & drug training instructions and very little time to be social or do any hobbies
. I don't know if I'm making the right decisions re my care. Best of luck to you!!!

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Replies to "I was dx Stage 1 in April 2024. I rec'd 6 gem/abrax infusions every other week..."

@baravelli

May be get a second opinion on your situation?

As for the chemo, my Mom's oncologist didn't use folfirinox as he said the side effects would be quite harsh given her age and gem/abrax can be just as effective for some patients. She is on it every week for three weeks instead of every other week.

@baravelli
This sounds just like my husband, except he had the Whipple first. They couldn’t get a clean margin. So next was radiation for 15 days. He was first classified as Stage 2, but after finding 2 affected lymph nodes of the 13 they took , he was “upgraded?” To stage 3. He is currently on the Gem/Abrex cocktail. He has completed 4 of 8 - so your experience really frightens me.
Were you treated at a cancer center? What are the doctors currently saying?
I wish you nothing but good news and cancer-free!