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Pancreatic Cancer - Effective Treatments

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What kinds of treatments have been effective for your pancreatic cancer?

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What is the treatment for resectable pancreatic cancer?

If a pancreatic cancer is found at an early stage (stage I and stage II) and is contained locally within or around the pancreas, surgery may be recommended. Surgery is the only curative treatment for pancreatic cancer. The surgical procedure most commonly performed to remove a pancreatic cancer is a "Whipple" procedure (pancreatoduodenectomy). It often comprises removal of a portion of the stomach, the duodenum (the first part of the small intestine), pancreas, bile ducts, lymph nodes, and gallbladder. It is important to be evaluated at a hospital with lots of experience performing pancreatic cancer surgery because the operation is a big one and evidence shows that experienced surgeons better select people who can get through the surgery safely and also better judge who will most likely benefit from the operation. In experienced hands, mortality from the surgery itself is less than 4%.

After the Whipple surgery, patients typically spend about one week in the hospital recovering from the operation. Complications from the surgery can include blood loss (anemia), leakage from the reconnected intestines or ducts, or slow return of bowel function. Recovery to presurgical health can often take several months.

After patients recover from a Whipple procedure for pancreatic cancer, treatment to reduce the risk of the cancer returning is a standard recommendation. This treatment, referred to as "adjuvant therapy," has proven to lower the risk of recurrent cancer. Typically six months of chemotherapy is recommended, sometimes with radiation incorporated into the plan.

Unfortunately, only about 20 people out of 100 diagnosed with pancreatic cancer are found to have a tumor amenable to surgical resection. The rest have tumors that are too locally advanced to completely remove or have metastatic spread at the time of diagnosis. Even among patients who are amenable to surgery, only 20% live five years.

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Comment from: Jayzee, 35-44 Female (Patient) Published: May 14

I had the whipped in June of 2011 followed by 6 months of chemo (Gemzar) and 6 weeks of radiation. The cancer was found in 7 of my lymph nodes at the time of surgery. As of today (May 2012) there has been no sign of cancer with 19-9 levels well within normal range. I am 37 years old. I feel great and have regained almost all of my strength and appetite. I did get plenty of rest during treatment and tried to eat often despite battling nausea. Keep a positive mindset and pray, pray, pray!

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Comment from: Helen, 45-54 Female (Caregiver) Published: March 02

My husband of 30 years is alive and very well today after his pancreatic cancer diagnosis at the age of 37. We were told at the time he would not see his 38th birthday. He is now 55 years old. At the time of his diagnosis, only one surgeon was willing to help us as all our other avenues told us it was too late. After surgery, my husband elected not to have any chemo or any other radiation therapy. He battled for 12 months in recovery and slowly but surely he regained enough strength to go back to work full-time, very rarely having a sick day off. We were given a 1% chance of having anymore children and now have a grand 16-year-old boy. He has remained cancer-free to this day. When he is asked why he thinks he survived, he says, "It's all in the mind."

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