Yes, your comments are helpful. Since my earlier post I've had another ERCP, stent replacement, as well as an EUS, biopsies, CT Angiogram, and exploratory laparoscopy with peritoneal wash. (Like you, my initial stent relieved most of my symptoms in about a week.) I'm diagnosed as Adenocarcinoma, Stage 1B. The tumor is not entangled badly with the nearby major vein and artery. Adjacent nodes are fine and there is no indication of metastasis. Intra-abdominal scrapings during peritoneal wash were negative. My 3rd Fulfirinox infusion happens in a few days. My CA 19.9 went from 316 to 641, then down to 321 10 days ago. Following 6 or 10 more Folfurinox infusions I anticipate having the Whipple, with a possibility of 3-4 weeks of radiotherapy prior to surgery if needed.

Sounds like we are on similar paths though the course of our treatments are not firm, but is seems like constant change is par for the course when it comes to pancan. Thanks for sharing. All the best to you as well.