INFO & BLOG
About diagnosis, treatment and recovery
What do “resectable, borderline resectable and locally advanced” mean in pancreatic cancer?
It is a staging classification based on the tumor’s relationship to major vessels (arteries/veins); it determines the chance of surgery and the treatment sequence.
Why is chemotherapy (FOLFIRINOX) given first in some patients?
In borderline resectable and locally advanced tumors, neoadjuvant chemotherapy aims to shrink the tumor and make surgery safer and more complete (margin-negative); the council makes this decision.
What is the Whipple procedure?
Pancreaticoduodenectomy, performed for tumors in the head of the pancreas; a comprehensive operation in which the pancreatic head, duodenum and related structures are removed and the digestive tract is reconstructed.
Can pancreatic surgery be done robotically/minimally invasively?
In suitable cases, yes. In distal pancreatectomy and selected Whipple cases, a Da Vinci robotic or laparoscopic approach offers less bleeding, small incisions and faster recovery. Suitability is decided by the council and surgeon.
I have jaundice, what is done before surgery?
In obstructive jaundice, a stent is placed in the bile duct via ERCP to relieve the jaundice; this protects liver function and allows a safe transition to chemotherapy/surgery.
Do I have treatment options if surgery is not possible?
Yes. In locally advanced tumors with vascular involvement, SBRT (stereotactic radiotherapy) combined with chemotherapy is evaluated by the council; in some patients surgery may be reconsidered after a response.
What is CA 19-9 and why is it measured?
A blood marker commonly used in pancreatic cancer; it provides supportive information in diagnosis, treatment response and follow-up (it does not diagnose on its own).
Is pancreatic cancer hereditary, is my family at risk?
Some patients carry a hereditary predisposition (including BRCA1/2). Genetic counseling and testing guide both treatment options (targeted therapy) and family screening.
How are nutrition and digestive problems managed during treatment?
Pancreatic enzyme support, dietitian follow-up, pain management and psychological support are integral parts of the treatment plan.
What documents are needed for a second opinion?
Existing CT/MRI images (DICOM if possible), pathology/biopsy report, blood tests including CA 19-9 and summaries of previous treatments.