My brother in US has a tumour in his pancreas and started chemo

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Hi, my brother, who has lived in the US for decades, running his own fund management business which is hard work, for 20 years including his youngest son in the business in New Year 24, wishing he felt younger but no signs of illness then.

My brother only let me know by email in November the week before he started chemo, that he has a tumour in his pancreas. He got to phone and speak about it the day before when his energy was high, between a couple of business meetings. He was initially treated for diabetes, when he felt unwell in August. My dad was diabetic and I have high blood suger like my Dad trying to manage it by diet, though currently less successful. 

My brother felt unwell with digestion problems, and when the diabetic meds were not helping he had a cat scan and a tumour was found. Fortunately he is being treated by an expert pancreatic cancer oncologist an Irish doctor qualifying in Trinity Dublin and working in a New York hospital for 20 years. His chemo combo includes some new drugs.

The tumour is too big to operate until it has been shrunk by chemo, and is pressing on an artery to his pancreas and also pressing on his liver bile duct thus worsening liver function and digestion as well as insulin production. Before chemo he has dropped from heavier relative his extra 3 ins of height, than me, I'm technically obese at 12st 6lb; to 10 stone. I know of two friends with older relatives who had tough times but died fairly quickly after diagnosis of pancreatic cancer, in the UK. According to Wiki survival rate is 10%.

My brother believes that if the tumor has spread, the systemic nature of chemo will zap the beginnings of tumors elsewhere. What is the survival rate if a tumor is successfully removed? Is this method of giving chemo prior to surgery unusual?

He was OK after his first session, when I  a texted  after his last fortnightly session, he said he was feeling rough. Do you think he is likely to get the buzz of energy again he was experiencing, phoning between business meetings, between diagnosis and treatment? 

Two Grandparents, one  from both sides of our family died of cancer. Both our parents we lost to dementia with my father also having gangreen,  both in their Eighties. Our Dad had a mole on his shin removed that was malignant with some trouble with a skin graft from his thigh till it healed but he was checked in his 50s, then still managing diabetes by diet. He had regular checks but never had any tumors the doctors were aware of again.

There was a time my brother's American doctor were amazed at his health for his age and lifestyle, he used to smoke, and enjoys a drink. My brother then found out thart due to a clerical error his doctor thought he was 63 not 53. He is now 61.

  • Hi Clougha

    Thanks for getting in touch. My name is Gemma and I’m one of the Cancer Information Nurses on the Macmillan Support Line.

     I am sorry to read about your brother and his diagnosis of Pancreatic Cancer.

    Chemotherapy can be given for Pancreatic cancer before or after surgery. I am glad he managed the first cycle well and you are in touch for support.

     Supporting a loved one with pancreatic cancer can be incredibly challenging, but you don’t have to face it alone, Pancreatic Cancer UK is online to help you make sense of it.

    We also offer guidance and emotional support to you and your family at every step, ensuring you’re not alone in this journey.

     You also mentioned your interest in survival rates. Survival depends on many different factors and each case is individual, Cancer Research does have some information on this.

    Statistics can be useful but talking to your brother and understanding his specific diagnosis and treatment plan may help answer some of your worries.

     I hope this information is helpful, sometimes it can be good to talk through what’s happening. If you think it would help you can call us free on 0808 808 0000. Our line is open every day 8am-8pm. You can also contact us by email or Webchat and we aim to reply to your email within two working days.

    Best wishes,

    Gemma

    Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm), send us an email or contact us through webchat.

    Ref GeS/ds