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Pancreatic cancer relapse

Pancreatic Cancer | Last Active: Nov 1, 2023 | Replies (69)

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@jlh1952

My husband was diagnosed with PC 2 weeks ago. We are exploring which cancer center / Oncologist to go with. Both local surgeons he has seen recommend neoadjuvant Chemo and then Whipple, provided his mass in the head of the pancreas has shrunk as it is abutting the SVA. Neither thought Radiation therapy would be indicated.
However, a friend had almost identical presentation to my husband's 3 1/2 years ago. He went to Mayo and the Oncologist/Surgeon there recommended up front Chemo Fulforinox regimen followed by a 5 week (5 days a week) targeted Radiation therapy (part of a study) before the Whipple. Our friend had the Chemo locally managed by a very good cancer center here, then went to Mayo for the targeted Radiation and Whipple at Mayo. He is doing fine now. I have contacted Mayo and hope to hear back next week which is when we meet with 2 local Oncologists with different cancer centers.

This feels like a mine field. Thanks for listening.

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Replies to "My husband was diagnosed with PC 2 weeks ago. We are exploring which cancer center /..."

Sounds like you are on the right track. Working with an oncologist who is open to direction from Mayo is helpful. My oncologist has been OK with taking direction from my doctor at MSKCC. My local oncologist's office has been easy to work with and is only 10 minutes from home. I couldn't manage an hour ride to the closest MSKCC Facility (I am 2 hours from the main hospital). I also have someone to call on if I need emergency care in the community.. Hope your treatment goes well.

Chemo locally and radiation/surgery at major center is a good plan. Major center directs chemo to local team. I’ve done this chemo/then surgery.