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New diagnosis: locally advanced pancreatic cancer

Pancreatic Cancer | Last Active: Aug 17, 2023 | Replies (36)

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@robee

Hi I was diagnosed stage 4 inoperable due to the same issue as you. I apparently did have a tube spot in my liver which they can no longer see. Most cancer centers are NOT pancreatic cancer centers. I started off at the cleveland clinic and felt I got “standard care and they just went thru the motions. If u can afford the travel, and are healthy enough, contact Mayo, MD Anderson, John Hopkins or Memorial Sloan Kettering to at least keep your local oncologist up to date. You really have to do all the foot work urself. I initially went to JH for a second opinion since they were the closest to me (4 hr drive) and I still contact them with chemo or treatment questions. I contacted Dr Truty at Mayo because he sounded more aggressive with surgery and I had hoped he would say I was eligible. He confirmed ( by phone-I did not need to go there. I just sent all my scans) that I was inoperable but suggested radiation, pet scan and restaging since they could no longer see evidence in my liver. I looked through journal articles for radiation options and found Dr Crane at MSK does a MRI guided approach that sounded very successful for cases like mine. Left a message and set up a FaceTime appointment to discuss. I will be going there next month to have him perform the radiation treatment since he pioneered this approach and not many are trained to do this.

It’s frustrating that you have to constantly look into options. This site is so helpful to reach out to others. Don’t give up! Keep asking questions.

Best wishes

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Replies to "Hi I was diagnosed stage 4 inoperable due to the same issue as you. I apparently..."

@robee Thanks for your reply. I searched for the pancreatic cancer centers of excellence and came across the National Pancreas Foundation site, which I assume is the one you referred to. (Sorry, I can't post the link yet.) It raises a question. In the drop-down menu list of PC centers of excellence, my hospital is listed. But when you below that drop-down menu, down to the locater map and search by location, my hospital comes up only as a pancreatitis center of excellence. I can't explain why the two lists would differ, but it concerns me because, of course, I want the best pancreatic cancer care. Pancreatitis isn't my issue. I guess I'll call them tomorrow and see what they say.

Admire your outstanding self advocacy. Pancreatic cancer patients really have to be their own advocates, doing their research, and seeking out the best care. Thank you for sharing your story.

What was your experience with MSK and Dr. Crane?