Ampullary adenocarcinoma

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Hello Everyone,

I'm a 53 year old male.

At the end of 2025 I started with painless obstructive jaundice. I needed an initial ERCP to fit a metal stent to ease a blockage at the Ampullary of Vater. Due to the stenting and inconclusive CT scans my biopsies were non-diagnostic. We tried a final ERCP to go in and remove the stent, try for better biopsy and then replace the stent. This confirmed the presence of an invasive adenocarcinoma. At the end of January 2026 I had Whipple surgery. My recovery was going great until i developed a Fistula related to the gastrojejunostomy. This resulted in a extra 4 weeks in hospital on TPN. I was able to return home to continue my recovery on the 9th March. Due to my extended stay on the ward I was able to discuss my Histology results from the operation with my consultant. He explained that out of 26 Lymph nodes examined, 2 were positive for cancer.

I am starting an initial cycle of chemotherapy (FOLFIRINOX) next week. My base line CT scan showed no obvious spread or new cancer that helped with my anxiety as the next phase of my cancer journey starts..........

Hickman line fitted yesterday and my first bloods are done........Let's Go!!!!!