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A tumor may not be totally cancerous and the biopsy hit the cancer spot because it does not always happen that way. My biopsy through an ERCP was inclusive - it was not positive for cancer but it was not 'normal' either. So the surgeon and GI doctors all recommended surgery.
Had the whipple and it was stage 1 - so a biopsy is not always the full story. Though I also had zero lymph nodes that were positive ( 16 were removed and checked), they still strongly recommended chemo with radiation.
I did the follow since this cancer has a nasty habit of coming back. It was not too bad (but I was a lot younger - only 43). I did have a recurrence after 8 years and lost part of a lung but still here and current NED (no evidence of disease).
Whatever her decision, just weigh the options and then don't look back too
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