1) Determine whether there is a transfer. PET-CT and laparoscopic exploration can be considered.
2) If no distant metastasis is found in the metastatic focus and the tumor is confined to the pancreas, open exploration can be considered. If it is judged during the operation that it can be surgically removed, it can be operated. If it cannot be removed, local treatment can be considered.
3) If the metastasis is confined to one organ, open local therapy and postoperative adjuvant therapy can be considered;
4) If the metastasis is extensive, it is recommended to choose single drug treatment.
I hope it helps you!
(Dr. Wu Tiecheng solemnly reminds me that because I can't see the patient face to face, I can't fully understand the condition. The above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor! )
Cancer Hospital of China Academy of Medical Sciences Wu Tiecheng/