I see that Massey Cancer Center is an NCI comprehensive cancer center, but isn't listed on the National Pancreas Foundation centers list as a pancreatic cancer center of excellence. UVA is listed, however. You might check these lists and see whether any other center offers more in your specific situation.

I'd like to add that not everyone can relocate to get medical treatment, and I get that. There are so many financial and logistical considerations, including job obligations, family finances, insurance coverage, etc. In my case, moving out of state could jeopardize our sons' college scholarships. However, there may be a way to do some medical travel--for example, driving an hour or two to get to appointments etc., staying in a hotel overnight as needed. We've done that in other instances (for example, my spouse's prostate cancer surgery and our son's clubfoot treatment), and while it's not inexpensive, it may be easier than moving altogether. Anyway, take a look at the lists and see whether it's worth trying to figure something out. If you absolutely can't leave Richmond, make a point to do a lot of research, ask a lot of questions, and advocate for yourself. Take advantage of every resource you can find.

If you're in or near Richmond, perhaps consider Hopkins -- 3.5-hour direct train ride (the Northeast Regional) or 3.5-hour car trip.

Good luck.