Hi, your mother’s diagnosis sounds very similar to my own. I was diagnosed last August, and also ineligible for surgery because of atrial encasement. I am being treated at the University of Iowa Hospitals and Clinic. So far I have received 7 chemo treatments of a planned 8. Then I’ll start chemo/radiation. The tumor had shrunk from 3.4 cm to 2.6 cm on Dec. 6th, and I have a new scan coming up in a couple of weeks. My CA 19-9 is down to 29. The surgeon believes Whipple surgery would be too risky because of the encasement and recommends the NanoKnife procedure (irreversible electroporation). It seems to be my best option, but the tumor will have to shrink a bit more for me to be eligible. It’s difficult to decide the path that will have the most favorable outcome. I hope your mom’s consultation goes well, and she’s able to have the surgery at Mayo! Best of luck!!