MY mother-in law undergone whipple procedure one month ago and the Biopsy says well differentiated (GRADE II) ductal adenocarcinoma periampullary region. out of six speciment taken for biopsy all are negative for tumour except pancreatic shave margin focally positive for tumour, She is in her 64, So still chemotheraphy is required or not, i am very much doubt she can tolerate chemotheraphy that is given to all patients systematically
Hi, Welcome to Chat Doctor, I understand your concern, but As her pancreatic shave margin biopsy is showing positive for tumor, it is better to give her Radiotherapy and Chemotherapy both. Recent studies have confirmed the beneficial effects of Chemo radiotherapy in these types of cases. The doctor who is treating her, would do her best, and will take his decision considering the benefits and risk due to Chemo and Radiotherapy. Wish her the good recovery.