I went into full remission after chemo, though there was a diffuse area in the pancreatic bed that was of concern, but not clearly cancer at that point. I had 10 sessions of SBRT in April 22. Since then I have had two 3 month surveillance appointments with numbers good and scan not showing any changes or metastasis. However, in just the past 4 weeks I had new CEA and CA19-9 tests and tumor markers are increasing. I have been in remission about 1 year and have felt great--no problems. I still feel great, however, now tumor markers are trending up rapidly, scan is still stable, but I have converted from ctDNA negative (a good thing) to ctDNA positive (a bad thing) in just the past 4 months. I think surveillance with blood work and scans are often the next step. I have enjoyed being in remission despite the ongoing uncertainty, but now I am clearly having a recurrence and need to look at next steps. I will be asking about this in my own post on the forum soon.