Hi Rodrigo I started chemo 2 months after Whipple ,as I needed prostate surgery before starting chemo,which wasn’t cancer related,I don’t recall my CA19.9 but before surgery I needed a stent put in as my levels were high,The longer Gemcitamine chemo went the sicker I became from the effects ,my oncologist dropped the strength a number of times so my body could cope,but we all respond differently to the chemo,I believe it is not as strong or as harsh,as the other treatments ,a friend who had a Whipple at a similar time as myself had the same chemo and got through without any problems,12 months later she needed folfirinox,and had side effects,that chemo has more effects on the body ,from my experience of talking with others who were on it,it’s a good start your Mums is not metastatic. Folfironox has more potent side effects and was usually used later in the disease if needed,but that was many years ago,my oncologist 12 months ago said to me they now treat pancreas cancer differently now with chemo,when we talked about the newer ways of treatment. You are so right you can’t afford to give this cancer any inches or time to come back. I can’t say what my CA19.9 were after surgery as I had severe complications after my Whipple in hospital and was trying to recover from what happened.I do have CA19.9 testing every 6 months ,currently my reading is 17.A CT scan was used regularly to check on my progress as well as CA 19.9 tests Because of Covid I haven’t had a Ct for over 12 months,I do know what to look out for on a reoccurrence ,so I am vigilant but not over stressed. I believe many factors can influence a CA19.9 reading ,so fingers crossed that it’s a temporary rise in your Mums ,hopefully whatever chemo is chosen for your Mum it works on cancer cells if any are left,and that the side effects are not too harsh on her. I send my best wishes to you and your family in the fight against this disease.My knowledge is limited but if I can be of any assistance just ask. kj
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