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Pancreatic cancer

Pancreatic cancer, cared for close to home by one team.

Pancreatic cancer is complex, and the right sequence of treatment — surgery, chemotherapy, and sometimes radiation — depends heavily on the stage at diagnosis. Our oncologists coordinate closely with surgeons and, when needed, academic centers to build the strongest plan.

How we approach it

Stage-driven treatment

Whether surgery comes first, or chemotherapy is given before surgery, depends on whether the tumor involves nearby blood vessels

Multidisciplinary coordination

We work with surgeons and, for complex cases, partner academic centers — so nothing slows down

Symptom and nutrition support

On-site help with pain, digestion, and nutrition is part of the plan, not an afterthought

What the workup looks like

1
Dedicated imaging

A pancreas-protocol CT or MRI shows the tumor and, crucially, its relationship to nearby blood vessels.

2
Is it removable?

The central question early on is whether surgery is possible. That assessment, made together with a surgeon, defines the path forward.

3
Tissue and tumor markers

An endoscopic-ultrasound biopsy confirms the diagnosis, and markers such as CA 19-9 help track the disease over time.

Common questions

Is pancreatic cancer always inoperable?
No. When the tumor hasn't spread to major blood vessels or beyond the pancreas, surgery may be possible — sometimes after chemotherapy to shrink it first.
What does chemotherapy involve?
Several effective combination regimens are used. Which one fits depends on your overall health and the cancer's stage; we'll explain the options and what to expect.
Why is nutrition a focus?
The pancreas affects digestion, so weight and appetite changes are common. On-site support helps you stay strong enough for treatment.
Should I get a second opinion?
For pancreatic cancer it's very reasonable — and we welcome it. We can also coordinate input from academic specialists when it helps.

This page is general information, not medical advice for your specific situation. Every diagnosis — and every patient — is different. Bring your questions to your care team.