@judithsh my wife had her surgery at JHH so not so strange to be asking on a Mayo site. Between my wife and myself we probably keep an eye on half a dozen different communities for pancan. My question is why so fatalistic? If you have pancan and it's early stage, get treated. Everyone is different and the progression of the disease is unpredictable. My wife was 61 when diagnosed and she has been through three different chemo regimens, radiation and surgeries but she's still fighting and we're hopeful that the current treatment keeps her stable long enough for a complete remission. Go to JHH. They are excellent and you'll receive the best possible treatment. Good luck and bless you.