Talk to Cancer Specialist / Oncologist on Pancreas Cancer

In Dec 2017 my mother diagnosed with pancreas cancer unfortunately , in workup it looks resectable , the patient admitted for Whipple procedure but during operation tumor found as locally advanced whipple converted into gastrojejunostomy. see the attached image

Chemopthry started (GemCap) after 4 cycle CT Scan showed interval progression. see the attached image

doctor changed the protocol to Capox Oxaliplatin and capecitabine (Xelox) after 6 cycles CT Scan showed as Stable Disease (see the attach image), doctor gave 3 month break and asked to do scan after 3 month which was done @ 05/01/2019

Unfortunately, last scan showed the tumor as Progressive Enlargement & hepatic metastases in segment 3 see the attached image

Doctor Switched the protocol again (PIC - folfiri)

2 cycle of PIC Folfiri has been completed and 3rd one is due on first of march 2019

Problems:

1) after 2 cycle of Folfiri patient feels severe weakness HB drop to 6.9 Blood transfusion done

2