Why are cancers considered inoperable if they are metastatic?

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I know a couple of surgeons refused to operate on pancreatic cancer without PET results when the cancer was shrunk to 1-2 centimeters. Even if there are metastatic sites and the metastasized cells grow, the original cancer would still be removed, we’d have fewer cancer cells overall. What is the reason that doctors don’t do it?

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The reason that doctors don’t operate on pancreatic cancer without PET results is because PET scans can help detect if the cancer has spread to other organs or tissues. This is important to know before starting surgery because it can help determine the extent of the surgery needed and the best approach to take. In addition, PET scans can also help detect if the cancer is responding to treatment and if there is a risk of recurrence.

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