I need your biopsy report and endoscopy report to give a better opinion on the treatment plans .
Based on the PET CT that your have shared , it seems to be a local disease involving regional lymph nodes only - which is good thing , that’s it’s not yet spread to distant sites (no distant metastasis)
But since it have shown some features of infiltration to adjacent organ (pancreas), stage will be Stage IV a , this is an advanced stage disease based on that report .
Probable - plan will be to start with neo adjuvant chemotherapy followed by plan for surgery .
Biopsy and endoscopy report not seen
Next Steps
Please get back to me with biopsy report and the initial endoscopy report . Also please understand that all treatment plans need to decide based on the present status of patient.
Health Tips
Need urgent treatment. Can get back to me for any opinion or advise , with the above mentioned reports and history .