My CT scans stayed clear (or at least nothing obvious showed) for just over two years. My CA19-9 started to climb slowly at first then more rapidly from October 22 to March 23. March scan was ambiguous, so a PET scan was done in June 23 which showed uptake at the original surgical site near my liver and a lymph node closer to my diaphragm. I resumed chemo in late June 23. I will have my 13th treatment this round in a few days, and will be starting radiation within the next couple of weeks. I have a lot of reasons to fight - we are well aware we have already had bonus time, but are hoping for more. I know a cure is not possible but will do what I can for as long as I can. Wishing you well!