Pancreatic Neuroendocrine tumour - mum unsure of whipples procedure

FormerMember
FormerMember
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Last week my mum was diagnosed with a NET in her pancreas, it is 6cm in diameter and amazingly she has had no symptoms so far and is a fit and well nearly 68 year old (her consultant was surprised at how well she is bearing in mind the size of the tumour!). The NET was only identified during abdominal scans carried out as part of investigations for myeloma, which she was also diagnosed with at the end of 2019. She saw a NET specialist as well as a surgeon at kings college hospital on Thursday, treatment options are controlling the NET with hormone injections or a whipples procedure. She also needs to start myeloma treatment soon as although low grade at the moment she requires chemo and stem cell treatment - but there are question marks over how wiping out her immune system during SCT will affect the growth of the NET (if she goes down the hormone route for this) we are awaiting further info from her NET consultant once he’s spoken to her myeloma dr, her NET dr has concerns that with no immune system the NET will grow/spread more aggressively. The whipples procedure was explained in some detail during her appointment with the surgeon along with risks and potential side effects, I think the having the seriousness of the op outlined has really frightened her and she has almost ruled it out without considering it rationally. Sorry for the long post but it’s not a straightforward situation as there are so many variables to think about, I’d like to hear from anyone who’s had a successful whipples procedure so I can at least pass on some positive stories to help her come to a balanced decision, especially as I personally feel this would be her best option when weighing up the management of her 2 cancers medium to long term. 

  • Hello Sarah

    I can fully understand your mum's nervousness about the whipples procedure. I was diagnosed with pc in march 2019 and the surgeons recommended whipples. These days most people  look on the internet for more information  but I must confess I did not find it very reassuring so I stopped reading and put my trust in the advice and expertise of the surgical team. they are duty bound to explain the difficulties and side effects of this operation , and indeed any operation.

    Following 6 hours of surgery I was up and walking the next day and within a few days the physio persuaded me to try a few exercises in the hospital gym. I had no discomfort or pain and was discharged after about 6 days. my recovery period lasted some months as I had lost a fair bit of weight  and muscle wastage but gentle walks building up the distance walked gradually worked for me.

    I subsequently had chemo and once again I ignored the internet and relied on the professionals to guide me through

    hope this helps

    best wishes to yourself and your mother

    Kevin

  • FormerMember
    FormerMember in reply to kevatvinegarhill

    Hello Kevin 

    Thank you for replying to my post, it was interesting to read about whipples from someone who has been through it and continued on to further treatment. Myself, my 2 brothers and mum are getting together tomorrow night to discuss her treatment options for the NET and myeloma, hopefully we will be able to go through the pros and cons, objectively weigh them up and help mum make some decisions (or at the very least a list of further questions for her Macmillan nurse!).

    best wishes

    Sarah

  • Hi Sarah

    the meeting with the family is an excellent way forward and don't hesitate to ask questions of the nurse or the surgeons. Nothing will be too much trouble for them.

    Please let me know how things progress

    Kevin