The final CT scan before surgery: Assessing the tumour

Today, I had my final CT scan before surgery - a crucial moment in this journey. This scan would give the surgeon everything they needed to know about the current state of the tumour, and I was feeling a mix of nerves and anticipation. The results showed that the tumour had grown since my last PET scan in September.

The notes from I-MED were:

Mildly increased size of ovoid lesion along the posterior aspect of the pancreatic head measuring 16 x 14 x 17 mm (axial x CC), previously 15 x 14 x 13 mm. The pancreas is otherwise unremarkable. No dilation of the main pancreatic duct.

The gallbladder, bile duct, spleen, kidneys, and adrenals appear normal.

The small and large bowel are unremarkable. Normal appendix.

No free fluid. No pelvic mass. No lymphadenopathy.

In simpler terms, the scan showed that while the tumour has grown, it’s still contained within the pancreas and hasn’t affected other nearby organs or structures. This gives us a clearer picture of what the surgeon will be dealing with.

As I prepare for surgery, it’s a relief to know that the tumour hasn’t spread beyond the pancreas, but I’m also more aware than ever of what’s ahead. This final scan feels like the last step before the big one, and I’m trying to focus on staying strong for what’s next.

I’m grateful for the support of my medical team and everyone who’s been by my side during this journey. Now, with all the information in hand, I feel ready to face the next chapter - surgery and recovery.