If you have been told that surgery to remove your cancer may be possible, you may have been diagnosed with stage 1 cancer. This is early, localised pancreatic cancer.
Or you may have been diagnosed with stage 2 cancer. This means that the cancer may have grown larger. It may have spread to a small number of lymph nodes near the pancreas. But it hasn’t spread to large blood vessels near the pancreas. If you have stage 2 cancer, you might be able to have surgery, but this depends on how far the cancer has spread.
If you can have surgery, your doctor may call your cancer operable or resectable cancer. Read more about your treatment options if you have early pancreatic cancer below.
Occasionally the cancer may grow very close to major blood vessels near the pancreas. You may be able to have surgery, but this depends on which blood vessels are affected by the cancer, and how close the cancer has grown to the blood vessels.
This is called borderline resectable pancreatic cancer – although your doctor may not call it this. They may just talk to you about your treatment options. Surgeons may class this as either stage 2 or stage 3 cancer.
Stage 3 pancreatic cancer is usually locally advanced cancer. If you have locally advanced cancer, it won’t usually be possible to remove it with surgery. You may be offered chemotherapy, sometimes with radiotherapy, to shrink the cancer, slow down its growth and control symptoms. For a small number of people, this may make surgery possible.
If you have been told you can have surgery to remove the cancer, download our booklet: Pancreatic cancer that can be removed by surgery. A guide if you have just been diagnosed.
You can also order a printed copy.
If it’s an option for you, surgery to completely remove the cancer is the most effective treatment for early pancreatic cancer. You will usually be offered chemotherapy after surgery, to reduce the chances of the cancer coming back.
Clinical trials are carefully controlled medical research studies involving people. You could ask your medical team whether there are any clinical trials that you could take part in. Most trials in pancreatic cancer aim to find better treatments, including better ways of using surgery, chemotherapy and radiotherapy.
If your cancer has grown very close to major blood vessels near your pancreas, your doctors will look carefully at your scan results. They will try to work out if surgery is possible. But it can be hard to tell whether it’s possible to remove it.
You may be able to have surgery. It depends which blood vessels are affected by the cancer, and how close the cancer has grown to them.
You may be offered chemotherapy on its own first. Some people then have chemotherapy with radiotherapy (chemoradiotherapy). This can sometimes shrink the cancer enough to make surgery possible. You will have scans before, during and at the end of your treatment to check how well it has worked and whether surgery may be possible.
Different medical teams may have different opinions about whether surgery is possible. You can ask for second opinion from a different medical team if you want one.
Read more about surgery when the cancer is close to major blood vessels.
Whatever your options, treatment is your decision. You don’t have to decide anything straight away. You may be offered another appointment if you need it to discuss any more questions you have.
If you or a loved one have just been diagnosed with pancreatic cancer, our emails can help you get the information and support you need. The emails are tailored to the diagnosis and provide key information over several weeks.
Our specialist nurses can guide you through the next steps and provide the support you and your loved ones need, when you need it most.
Pancreatic cancer can cause symptoms, and the treatments can cause side effects. Not everyone will have the same symptoms or side effects.
It’s important to talk to your medical team about any symptoms as they can help you with managing them. Getting treatment for symptoms can improve how you feel, both physically and emotionally.
Here are some of the most common symptoms of pancreatic cancer and side effects of treatment.
Speak to your doctor or nurse about any symptoms you have – they can help to manage them. You can also speak to our specialist nurses on our Support Line with any questions about symptoms.
It helped me to try and keep as fit and healthy as possible while dealing with symptoms, so I took walks and ate sensibly.
Read other people’s experiences of being diagnosed with early pancreatic cancer and having surgery.
Order our newly diagnosed pack to help you understand your diagnosis and treatment options
Published November 2022
To be reviewed November 2025
