Leading gastrointestinal cancer surgeon discusses importance of good local resection of pancreatic cancer tumor. Distant metastases in pancreatic cancer may be present. But good “local control” of primary pancreatic tumor has large influence on quality of life of patients with pancreatic cancer.

Pancreatic cancer quality of life depends on local control of tumor. Dr. Martin Schilling, MD. Resection of pancreatic cancer tumor is important. Even if metastases are present in other organs. Dr. Anton Titov, MD. Quality of life of pancreatic cancer patients depends on problems at pancreatic tumor site. Complete resection of pancreatic tumor should be done even in the presence of liver or other organ metastases. Medical second opinion clarifies stage 4 pancreatic cancer diagnosis. Medical second opinion helps to decide if liver metastases surgery is possible in stage 4 pancreatic cancer. Best treatment for advanced stage 4 pancreatic cancer with liver metastatic lesions. Dr. Martin Schilling, MD. Medical second opinion from leading expert helps to find the best treatment for stage 4 pancreatic cancer with liver metastases. Dr. Anton Titov, MD. Get medical second opinion on advanced pancreatic cancer and be confident that your treatment is the best. Best pancreatic cancer treatment center for liver metastases. Video interview with leading surgeon in pancreatic cancer treatment surgery. Pancreatic cancer. Quality of life depends on local control by surgery. Dr. Anton Titov, MD. Pancreatic cancer is a very difficult disease to treat by surgery or chemotherapy. You published a cancer research paper. It looked into the difference between aggressive pancreatic cancer and less aggressive tumors in the pancreas. Some of pancreas tumors are essentially of inflammatory origin. It is very important to distinguish between the two types of pancreas tumors. Could you please discuss your findings of your study? How to differentiate between aggressive pancreatic cancer tumors and less aggressive tumors in the pancreas? Dr. Martin Schilling, MD. Esophageal cancer, Gastric cancer, Pancreatic cancer, Liver cancer and Colon cancer surgeon, Switzerland. Dr. Martin Schilling, MD. Those were pancreatic tumor biological studies. They are important for the growth of tumor. However for the surgical treatment they are not that relevant. The problem with pancreatic cancer is this. Dr. Martin Schilling, MD. Chances that is often discovered at advanced stage. It is just like esophageal cancer. Again you have to find a multidisciplinary approach to pancreatic cancer patient. Pancreatic cancer patient might need chemotherapy and/or radiation therapy. Then a resection of pancreatic cancer tumor can happen. Or if the patient befits from the primary resection. Dr. Anton Titov, MD. Decision to operate on pancreatic cancer has been under the discussion for the last number of years. We are moving into the new treatment strategy now. We provide local control of the primary pancreatic cancer tumor. That is, we resect pancreatic cancer tumor. Even if pancreatic cancer patients have several metastases. Dr. Martin Schilling, MD. We learned that the quality of life in pancreatic cancer patients is dominated by local problems. Pancreatic cancer causes major problems in the pancreas. Pancreatic cancer causes pain and obstruction of the various structures in the abdominal area. It is bile ducts, stomach or duodenum. We can treat these local problems in primary pancreatic cancer resection. We can do surgery even if the patient singular metastases. For example, metastases in the liver. Dr. Anton Titov, MD. We have just talked to Dr. Poston about the liver metastatic disease in colorectal cancer. It is amazing what can be done to treat the metastatic liver disease in cancer. Dr. Martin Schilling, MD. Esophageal cancer, Gastric cancer, Pancreatic cancer, Liver cancer and Colon cancer surgeon, Switzerland. But that is true mostly for colorectal cancer. Also in my experience it is more difficult with other cancers. Dr. Martin Schilling, MD. We have published the liver resection surgery results for gynecological cancers. These cancer originate from uterus and ovaries. Cancers originated from the uterus ovaries. Dr. Anton Titov, MD. Uterine cancer and ovarian cancer patients also benefit from liver metastases resection. In pancreatic cancer and esophageal cancer the benefit from the resection of liver metastases is not understood. Dr. Martin Schilling, MD. Pancreatic cancer quality of life depends on local control of tumor. Leading pancreatic cancer surgeon on importance of radical surgery in pancreatic cancer.