By Simeon Margolis, M.D., Ph.D. Provided by: Johns Hopkins University

Behind the Headlines

Surgery for Pancreatic Cancer By Simeon Margolis, M.D., Ph.D. - Posted Mon, Aug 27, 2007, 10:02 pm PDT

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  • 1. Posted by A Yahoo! Health User on Mon, Aug 27, 2007, 11:25 pm PDT

    I had painless jandice and underwent Whipple surgery on 30 March,2007. It was diagnosed as periampullary adenocarcinoma of moderately defferentiated grade without enlargement of lymph nodes (only two nodes) and without any meatasteses. No chemotherapy and no radiation were recommended. CA,CEA and MRI were normal.Please advise any precautions I have to take.

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  • 2. Posted by A Yahoo! Health User on Tue, Aug 28, 2007, 10:28 am PDT

    You're out of your mind. With statistics like that, there's not a reason in this world to go rushing into surgery. My chances of survival would probably be just as good, if not better eating a vegan diet. The "Whipple procedure" seems pointless with nobody surviving beyond 5 years. Chemotherapy is typically a death sentence from the start. No way. I'd change my diet first before I'd go into some surgery that gave those odds.

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  • 3. Posted by A Yahoo! Health User on Mon, Sep 10, 2007, 11:19 pm PDT

    my husband was diagnosed with pancreatic cancer in March of this year.I put him in the hospital today again with jaundice and high fever and chills. He has had no change inturmor size since chemo and is afraid to havethe surgury. He is in poor health and is 72 years old. whats next.

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  • 4. Posted by A Yahoo! Health User on Wed, Oct 17, 2007, 9:37 pm PDT

    I was diagnosed with Stage IV Gallbladder Cancer in March 2007 and told I had less than five months to live. Don't ever give up hope - after three months of systemic chemo (oxaliplatin/avastin/xeloda) almost 70% of the cancer was killed. Radical surgery in July (much like the Whipple described in this article, except the pancreas wasn't removed)removed all visible cancer with good margin. The CAT Scan in August showed no visible cancer but I am back on systemic chemotherapy (above) to kill all undectable cancer cells. This is truly stunning. With new treatments, like Avastin, the statistics are being rewritten. If you are diagnosed with a terminal stage iv cancer like gallbladder or pancreas - find the best cancer center and the best doctor and keep hope alive. And, equally important, trust in God's Grace to carry you through the darkest days.

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  • 5. Posted by A Yahoo! Health User on Fri, Dec 14, 2007, 3:08 pm PST

    Hi Dr I had the whipple done however the cancer was locallize at the ampulavater and some of the lymph noode around the pancease. At the moment I going through chemo and radation. My question is. , is that the early stage?

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  • 6. Posted by A Yahoo! Health User on Wed, Mar 26, 2008, 10:39 am PDT

    do you know of any doctors in the Atlanta area that are experienced in the Whipple procedure? My husband has stage 2 pancreatic cancer and they are still evaluating CT scans to determine if the tumor has encased the blood vessels or are just pressing on the vessels.

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  • 7. Posted by A Yahoo! Health User on Thu, Apr 10, 2008, 12:26 pm PDT

    7. Posted by Carol on Thursday, April 10, 2008, 3:18 pm EST My husband was diagnosed with pancreatic cancer in January 2008. He turned jaundice. Had many tests, CT Scans, ERSP, ESP. On test showed that the tumor was attached to the portal artery, the CT scan test reports said that it was near. The surgeon decided to go ahead and perform the WHIPPLE on March 25, 2008. After three hours into the surgery, I got a call saying that he could not finish the surgery. They did resection the stomach and intestines. The tumor was totally around the Portal artery. They said they will treat it with CHEMO. My husband had cancer fifteen years ago and it was treated with radiation. I am now told that he can't have radiation again. They think he is in stage 2 but they did not check the lymp nodes. During a month of testing, the tumor showed to be 2 centimeters. When surgery was performed the surgeon said it was more like 4 1/2 to 5 centimeters. Does this mean that the tumor is aggressive. What are my husbands' chances?

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  • 8. Posted by A Yahoo! Health User on Wed, Jan 28, 2009, 9:30 am PST

    Hi My Dad just went through the surgery for Pancreatic Cancer and now after everything is all right with him, he has been having persistent fever for last 2 weeks which goes form 99 to 102, I am not sure what is wrong. The reports are all good and there is nothing specific the doctors can tell. could you please tell if it is normal or if it is some kind of pattern?

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  • 9. Posted by A Yahoo! Health User on Thu, Mar 12, 2009, 5:30 am PDT

    I had a pylorus saving Whipple procedure done 8 weeks ago (Jan. 14, 2009). Although it was a rough 12 days in the hospital, it was not nearly as bad as I imagined it would be. I left the hospital after 12 days (at my request) with my stomach still not working, so I had to go home with my J tube (which I frequently had to let drain into a bag) and feeding tube in place. 24 hours after coming home, the stomach began working, and it was a smooth ride after that! I can eat and drink pretty much anything I want (can't do fried foods or fats very well) and don't experience "dumping" (only rarely). I went cross country skiing last weekend for 2 hours and felt great. I'm 55 y/o, if that makes a difference. Don't despair if you are told to have a Whipple. It turns out that it was not cancer for me, but a chronic pancreatitis that caused the 8 mm lesion at the head of my pancreas. I spent 5 months living with a cancer diagnosis before I had the surgery. Doctors wanted test after test, and I got 3 opinions, hoping someone would say I don't have cancer, or I didn't need a whipple. All 3 doctors recommended the whipple, so I had Dr. Roger Jenkins from Lahey Clinic in Burlington, Mass do the surgery. He does liver transplants and whipples all the time, and I wanted someone who does this surgery a LOT!! I can't say enough good things about Dr. Jenkins and the team at Lahey Clinic. I would highly recommend getting surgery there if you live in the New England area. God bless all of you who are facing a cancer diagnosis.

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  • 10. Posted by A Yahoo! Health User on Wed, Apr 29, 2009, 12:36 pm PDT

    HI,I was just diagnosed with pancreatic cancer.What next? Dr. told me MRI & bloodwork are in the horizon,but even after that,what's next? Geez I would really like to know what needs to be done, 1)surgery, 2)chemo, 3)meds, 4) crap im scared,what can I do?

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