Stage at admission to BC: IVA, persistent

BC. October 7, 2011 PB, gemcitabine

Regional radiology CT January 5, 2012

SD

431

228

Non- conclusive (tissue- Caris)

12

Regional hospital February 1, 2010

APMD

Regional radiology CT January 2010

Mass in the pancreatic head

Stent placement January 18, 2010, Whipple procedure February 1, 2010

Lung, lymph node, and mesenteric metastases

Clinical trial gemcitabine plus vaccination

Regional radiology CT May 13, 2011

Recurrence

RT August 2010

RT and capecitabine to September 2011

Regional radiology PET/CT November 2, 2011

Recurrence

Stage at admission to BC: IVB, recurrent

BC. November 4, 2011 PB, nab-paclitaxel x5 gemcitabine x1

Regional radiology PET/CT January 25, 2012

SD

872

231

Negative (blood and tissue- Caris)

13

Regional hospital September 27, 2011

APMD

Regional radiology CT September 25, 2011

Mass in the pancreatic head

Stent placement September 25, 2011, FOLFIRINOX x3 October 9, 2011-November 20, 2011

Liver and peritoneal metastases

Regional radiology CT December 13, 2011

Recurrence

Stent placement

Capecitabine December 11, 2011

Gemcitabine and docetaxel, capecitabine January 2, 2012-January 18, 2012

Regional radiology CT March 4, 2012

Recurrence

Stage at admission to BC: IVB, recurrent

BC. February 29, 2012 PB, pazopanib- discontinued (financial concerns, duration-1 day). Everolimus- discontinued (duration-2 days), erlotinib, gemcitabine, nab-paclitaxel

Regional radiology CT July 3, 2012

PD

304

148

Negative (blood),

RRM1,

SPARC,

Poly- clonal- Negative Monoclonal above the threshold (tissue- Caris)