Ampullary Cancer, Post Whipple

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Ampullary Cancer, Post Whipple

by jrb90042 on Thu Jan 12, 2012 05:41 AM

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Hi. Son of a recent Whipple recipient (1/6/12) here. She's 65 and in (otherwise) good shape.  Tough situation, the post-Path report says 5 of 16 Regional nodes positive, but nothing in margins or Liver. Tumor invaded Pancreas (6cm) and poorly differentiated. No perineural or venus invasion. Everything I've read says 5 year survival from 10-39% (no study aggregates so many negatives, though). Surgery went well, no immediate complication and Oncologist wants to do a PET scan after a few weeks healing to really understand Staging, but its at least IIB. Suggested chemo (Gemzar), but not necessarily radiation regime based on "unproven effacacy". Any similar situations or other takes on survival rate? Cheers, RB

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