Hi, Though it is a very rare cancer especially at your age, I would seek a second oppinion on treatment modalities. I would not feel comfortable if I were you not receiving any form of chemotherapy. Gemzar seems to be what they are using these days to treat pancreatic cancer and ampullary cancer. Mine was just confined to the ampulla and one lymph node out of 9, but I'm getting treated aggressively, per choice and physician recommendation.