C.
My father passed away from pancreatic cancer several years ago. I will warn you that you may choose to keep the information I share to yourself or share it with your sister-in-law, but it is very unpleasant. Pancreatic cancer is perhaps the most rapidly spreading and invasive of all cancers. Frequently when someone goes from healthy to sick with cancer quickly, they call it pancreatic cancer eventhough it may not be, but many quick moving cancers are attributed to it. When my father was diagnosed, he was Stage II and given 3-6 months to live. He survived one year and had a really great quality of life during that time. After diagnosis, he was also scheduled for the Whipple procedure. This procedure is considered the only possible cure for pancreatic cancer - very few people live in remission after having that diagnosis. It is a massive procedure, as I am sure you know. What your doctor likely has not told you is that fewer than 20 percent of the patients that going in for this procedure are eligible to receive it (possibly even less). That is, the majority of the time, the doctor will find that the cancer has already spread to other organs. Your relative may be in that 20 percent, so do not give up hope, but I just want you to be prepared that her chances of actually receiving the procedure are low. My father was scheduled for it, but that is when we had found that the cancer was further advanced than anyone had suspected. Finally, as Beth pointed out because pancreatic cancer is so fast moving, there is not a whole lot of time to shop around for the best hospital. If she is able to get the Whipple, it will require a significant amount of time recuperating in the hospital - and it still does not guarantee a cure. I am so very sorry. I will pray for your family and hope for the best outcome.
Please check out PANCAN.org for great stories of hope and resources. They were an invaluable organization when my dad was going through this.