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His local doctors might be correct, but if I had accepted my local doctors similar prognosis I would not be writing this. My tumor also was wrapped (slightly less than halfway) around an artery. Sometimes, as in my case, the local surgeons say it is inoperable because they do not have the skill, training or staff to perform the operation. I searched the internet for answers and found Mayo illustrated on their web site how an "arterial resection" was sometimes performed on tumors located on arteries. I went to Jacksonville for a second opinion and was advised my tumor was in fact operable by either of two surgeons there who perform this type surgery. I received five chemo treatments of Gemzar (gemcitabine) and Abraxane prior to surgery. Upon having an MRI done a day before surgery it was discovered that the tumor had almost miraculously broken up and arterial resection was not necessary. The Whipple was performed as scheduled and I was out of the clinic hospital unit in six days. The point is , however that the surgeon was capable of and originally planned to do an arterial resection. The local Oncologists and surgeon did not inform me that there were surgeons elsewhere who do in fact have the skill and facilities to perform arterial resections in some cases. I am currently three weeks from being a two year survivor.
If at all possible, I would strongly urge that your father get a second opinion at a renowned clinic such as Mayo. It is a very simple procedure. You do not have to have a doctor referral at Mayo. You are treated like family at Mayo, not just a statistic. Sorry for the length of this post, but I cannot over-emphasize the importance of having a second opinion from a qualified specialist in something that is this life-threatening.

@colleenyoung I also am waiting to hear what the radiologist will day. Will let you know when I find something out.

@mpatel23 Yes I was told my tumor is inoperable. The difference is that I was first diagnosed with pancreatic cancer in 2014 and had my Whipple at that time. Now 6 years later, my cancer has come back. My tumor this time is inoperable. I strongly recommend that your father get a second opinion at Mayo. Doctors there have made significant improvements in treating this cancer in the last few years. It will be well worth your time to have your father seen by the surgeons there.

@marvinjsturing, I'll be interested to hear what the radiologist has to offer.

Welcome to Mayo Clinic Connect, @alkat and @mpatel23. @alkat, you can get call Mayo Clinic to get a second opinion. Here is the contact information for all 3 locations http://mayocl.in/1mtmR63 Mayo in Jacksonville, Florida may be you most convenient location. @alkat and Marvin can tell you about their experiences with Mayo Clinic in Rochester, MN.

Alkat, I hope you are eligible for the Whipple procedure. You can find out more about it in these discussions:
- Pancreatic cancer—Whipple procedure https://connect.mayoclinic.org/discussion/pancreatic-cancer-whipple-procedure/
- Whipple procedure and follow up chemo https://connect.mayoclinic.org/discussion/whipple-procedure-and-follow-up-chemo/

MPatel, Marvin's tumor is also inoperable due to the wrapping of arteries. It is hard news to get. You may be interested in this discussion:
- Inoperable Pancreatic Cancer: What treatment options are there? https://connect.mayoclinic.org/discussion/pancreatic-cancer-3/

Hi. My father was diagnosed with Stage III pancreatic cancer at the end of January. He was told by local doctors that his tumor is inoperable because it is around a major artery. He has been recommended to start chemo to see if tumor will shrink. He currently lives in Charlotte,NC. I would like to get a second opinion. What are the steps I need to take to get a second opinion from Mayo. Thank you in advance for your advice.

Results from the biopsy have come in. My pancreatic cancer has come back. Now I need to meet wit a radiologist to set up a treatment plan.

Diagnosed in December 2019. Had scans and pet mri done at Mayo in Rochester. Currently undergoing folfirinox regimen back home. Will return to Mayo in April to get scanned. Dr. Truly seemed to think I was a good candidate for the Whipple. Nothing had metastasized so far.

@marvinjsturing Hello Marvin,

I hope that you get a good prognosis from the EUS today. I look forward to hearing from you again.

@colleenyoung ,We met with the pancreatic cancer surgeon yesterday. He explained that the tumor is surrounding the veins going to the stomach, the liver and the spleen. Because of this, surgery is not possible. The typical treatment in this case would radiation and an oral chemo. Because of my chronic kidney failure, I cannot have the chemo, so they are talking just radiation at this time. I have been scheduled for an endoscopic ultrasound with biopsy today. This is being done first to confirm that what they are seeing on the scan is cancer and second to determine how the radiation is to be given. They will be calling me on Monday with the results of the biopsy.

@marvinjsturing I can't imagine what a punch in the gut that news must be. Did you see the surgeon today?

@marvinjsturing

You must be disappointed, Marvin. I hope you get encouraging news from the surgeon.

I've been thinking about you today and I'm glad that you posted an update. I'm continuing to pray for you.