Living Longer: Locally Advanced Pancreatic Cancer (I)

Introduction Locally advanced pancreatic cancer: Pancreatic cancer that is inoperable or borderline inoperable, normally due to tumor proximity or invasion to adjacent major blood vessels Consists of 35% of pancreatic cancer at diagnosis 15% have resectable disease Stage I, II and 50% have metastatic disease Stage IV Have slightly longer survival compared to cancer that …

Palliative Care: Why Are You Referring Me To Die?

Mrs A, is currently undergoing palliative chemotherapy for metastatic breast cancer (lung, liver, bone). She was complaining about lower back pain and also left lower ribs pain, caused by cancer spreading to her bones. I wanted to refer her to palliative care but she declined. She mentioned that palliative referral means that she is about …