Abstract

Pancreatic cancer is often considered one of the most deadly cancers because it is typically discovered late and there are few effective treatments for advanced stage disease. This is a case report of a 74-year-old woman with pancreatic adenocarcinoma with metastases to the peripancreatic retroperitoneal lymph nodes, liver, lungs, and left supraclavicular lymph node who is now over 11 years out from her original diagnosis of metastatic disease. This report describes the methodology of the patient’s treatment including the use of metronomic chemotherapy, combination chemotherapy, sequential therapies, and immunotherapy with the hope of providing a roadmap toward the successful treatment of this deadly cancer, and perhaps other cancers.