Hi @vherzog777, I replied to your question in another discussion thread, but thought I would reply here as well.

Dr. Truty at Mayo Clinic is a pioneer in the treatment approach of chemo before surgery in tumors that were in former times considered in operable. You can read more about Dr. Truty and this treatment approach in various articles. Here's the most comprehensive one written for medical professional:
– 3 factors associated with improved outcomes for individuals with pancreatic ductal adenocarcinoma https://www.mayoclinic.org/medical-professionals/digestive-diseases/news/3-factors-associated-with-improved-outcomes-for-individuals-with-pancreatic-ductal-adenocarcinoma/mac-20463202

I recommend contacting Mayo Clinic right away. They may suggest coming to Mayo Clinic, or they may suggest working with your local hospital for chemo and then to come to Mayo Clinic for surgery. You have options. Here are the contact numbers for all 3 Mayo Clinic locations. http://mayocl.in/1mtmR63

It doesn't cost anything to call and inquire. It may give you peace of mind.