Pancreatic Cancer

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Pancreatic Cancer

by Sfebwe on Thu Dec 04, 2014 02:42 AM

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Hello, My father-in-law was diagnosed Monday with a 3.1cm tail tumor. We are waiting for results to see if it has spread to the omentum. His WBC and labs were normal. He is scheduled for a biopsy later this week. I am just unclear of surgical options if it has spread. We are just completely distraught. Any information would be appreciated. Is 3cm considered large or advanced?

RE: Pancreatic Cancer

by pancanfighter on Thu Dec 04, 2014 03:51 AM

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Hello, I am sorry to hear about your father in law. I think more importantly than the size is the location of the tumor. You have a definite advantage with the tumor being in the tail. The chances of it being involved the the veins and arteries are less likely with the tumor being on the tail. If you google stages of pancreatic cancer it will tell you that if the tumor is larger than 3.0 cm it increases the stage from stage 2 to 3. That being said I have recently spoken with an 11 year survivor of pancreatic cancer who had a tumor the size of a large chicken egg. It's very hard not to be completely distraught but try to stay calm and remember to breath. I had the opportunity to meet with one of the top pancreatic surgeons in the world and his advice to me was that attitude is more important that any medicine or surgery he could provide. I truly believe that advice. Stay positive and do not take no for an answer.

RE: Pancreatic Cancer

by Sfebwe on Fri Dec 05, 2014 12:09 AM

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Thank you for your response:)

RE: Pancreatic Cancer

by Sfebwe on Fri Dec 05, 2014 12:15 AM

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We received the results from the cancer marker today which was 391. I know that normal is 37 or less. Has anyone had a similar level and it had not metastasized to anywhere else. They are wanting to make sure it has not entered the omentum. I find that talking to people with similar cases will give me more insight as to what we are looking at. He is scheduled next week for a biopsy and the oncologist stated yesterday that it did not appear to be in his nodes. The CBC w/diff was normal except for a slightly elevated MVC. Thank you for any responses,

RE: Pancreatic Cancer

by rholland on Sun Dec 07, 2014 03:38 AM

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I had a large adenocarcinoma tumor (5cm) and a CA19-9 of 1000 before my Whipple operation.  The cancer had not metastasized and no lymph nodes (22 removed) were affected.

RE: Pancreatic Cancer

by rholland on Sun Dec 07, 2014 03:44 AM

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On Dec 04, 2014 3:51 AM pancanfighter wrote:

Hello, I am sorry to hear about your father in law. I think more importantly than the size is the location of the tumor. You have a definite advantage with the tumor being in the tail. The chances of it being involved the the veins and arteries are less likely with the tumor being on the tail. If you google stages of pancreatic cancer it will tell you that if the tumor is larger than 3.0 cm it increases the stage from stage 2 to 3. That being said I have recently spoken with an 11 year survivor of pancreatic cancer who had a tumor the size of a large chicken egg. It's very hard not to be completely distraught but try to stay calm and remember to breath. I had the opportunity to meet with one of the top pancreatic surgeons in the world and his advice to me was that attitude is more important that any medicine or surgery he could provide. I truly believe that advice. Stay positive and do not take no for an answer.

I don't think that tumor size determines staging.  It does affect the T value which is part of the TNM rating (I think it goes from 2 to 3 if the tumor is larger as in my case). Staging is determined by a number of factors - primarily spread.  I had a 5 cm tumor, a TNM of T3N0M0 and was staged at IIa.

RE: Pancreatic Cancer

by pancanfighter on Sun Dec 07, 2014 04:45 AM

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On Dec 07, 2014 3:44 AM rholland wrote:

On Dec 04, 2014 3:51 AM pancanfighter wrote:

Hello, I am sorry to hear about your father in law. I think more importantly than the size is the location of the tumor. You have a definite advantage with the tumor being in the tail. The chances of it being involved the the veins and arteries are less likely with the tumor being on the tail. If you google stages of pancreatic cancer it will tell you that if the tumor is larger than 3.0 cm it increases the stage from stage 2 to 3. That being said I have recently spoken with an 11 year survivor of pancreatic cancer who had a tumor the size of a large chicken egg. It's very hard not to be completely distraught but try to stay calm and remember to breath. I had the opportunity to meet with one of the top pancreatic surgeons in the world and his advice to me was that attitude is more important that any medicine or surgery he could provide. I truly believe that advice. Stay positive and do not take no for an answer.

I don't think that tumor size determines staging.  It does affect the T value which is part of the TNM rating (I think it goes from 2 to 3 if the tumor is larger as in my case). Staging is determined by a number of factors - primarily spread.  I had a 5 cm tumor, a TNM of T3N0M0 and was staged at IIa.

I''me by no means any type of expert, just merely a caregiver who tries to educate myself as much as possible. I did misspeaks out the staging in my post. My apologies for misquoting what I read. (I was going by memory when I made my post). It is actually stage IA to IB is determined by the size of the tumor. Like I said, I am by no means an expert but I'm thinking the National Cancer Institue may be and they state that: " Stage I pancreatic cancer. In stage IA, the tumor is 2 centimeters or smaller. In stage IB, the tumor is larger than 2 centimeters." Hopefully that helps with any doubts you may have with my post.

RE: Pancreatic Cancer

by Sfebwe on Sun Dec 07, 2014 06:11 AM

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Thank you for your response it was very helpful.

RE: Pancreatic Cancer

by Sfebwe on Sun Dec 07, 2014 06:12 AM

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Thank you. I hope we will also find it has not spread and will be a candidate for surgery. Thank you again.

RE: Pancreatic Cancer

by rholland on Sun Dec 07, 2014 11:21 PM

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On Dec 07, 2014 4:45 AM pancanfighter wrote:

On Dec 07, 2014 3:44 AM rholland wrote:

On Dec 04, 2014 3:51 AM pancanfighter wrote:

Hello, I am sorry to hear about your father in law. I think more importantly than the size is the location of the tumor. You have a definite advantage with the tumor being in the tail. The chances of it being involved the the veins and arteries are less likely with the tumor being on the tail. If you google stages of pancreatic cancer it will tell you that if the tumor is larger than 3.0 cm it increases the stage from stage 2 to 3. That being said I have recently spoken with an 11 year survivor of pancreatic cancer who had a tumor the size of a large chicken egg. It's very hard not to be completely distraught but try to stay calm and remember to breath. I had the opportunity to meet with one of the top pancreatic surgeons in the world and his advice to me was that attitude is more important that any medicine or surgery he could provide. I truly believe that advice. Stay positive and do not take no for an answer.

I don't think that tumor size determines staging.  It does affect the T value which is part of the TNM rating (I think it goes from 2 to 3 if the tumor is larger as in my case). Staging is determined by a number of factors - primarily spread.  I had a 5 cm tumor, a TNM of T3N0M0 and was staged at IIa.

I''me by no means any type of expert, just merely a caregiver who tries to educate myself as much as possible. I did misspeaks out the staging in my post. My apologies for misquoting what I read. (I was going by memory when I made my post). It is actually stage IA to IB is determined by the size of the tumor. Like I said, I am by no means an expert but I'm thinking the National Cancer Institue may be and they state that: " Stage I pancreatic cancer. In stage IA, the tumor is 2 centimeters or smaller. In stage IB, the tumor is larger than 2 centimeters." Hopefully that helps with any doubts you may have with my post.

Thanks for your posts and clarifications. It's helpful to have these boards where we can share info.  No one here is an expert - we are all just trying our best in a very difficult situation.

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