I had 10 rounds of Chem before Whipple, but no Chem after the surgery. The reason was the margins were good, and my CA19-9 dropped to less than 20. In hind sight, I should have insisted on some follow-up chemo. 17 months after Whipple, my cancer returned to the resection site and questionable lesion in my liver.

My friend did not. She had a wound that didn’t heal. I had chemo before, couldn’t have mor after due to infection/incisional wound didn’t close.

@judithbramson12 ,

Not everyone gets chemo or radiation after Whipple. I understand the rationale, but don't necessarily accept it. My opinion is based on my post-Whipple recurrence.

I posted a bit more about it beginning on page 2 here: https://connect.mayoclinic.org/discussion/mrna-vaccine-trials/?pg=2#chv4-comment-stream-header

It's about halfway down page 2, and begins with the discussion of "Total Neoadjuvant Therapy." There's a PDF attachment ("State‑of‑the‑art surgery for pancreatic cancer") to that post worth reading if you have time, but two highlights from it quoted at the bottom in case you don't.