No it means they can't take it out by operation. Remember there are other routes to take chemo, radiation, holistic, colon cleaning ect. I do not have cancer but, would not have radiation if I had. It might have killed some of the cancer for my father but, I also think it did damage. It can do sometimes more damage then good. All the options are totally up to you though, be careful in every step you take. PC is a fast growing cancer and gets very painful. In some cases the pancrease just gets removed altogether. Those people that do get insulin injections as a diabetic would because the pancrease regulates insulin. Best of luck to you.