Iam new to this site and this is my first posting. I was diagnosed with bile duct cancer Aug. 21st, I underwent a whipple procedure on Sept. 20th which went well. I was told that all the cancer that could be seen was removed. before starting chemo and radiation my oncologist had a CA-19-9 done and the results were very high (496). Catscan showed cancer spread to liver. I started chemotherapy on Xeloda (3500mg) daily, no radiation a week ago, no side effects yet.