”The diagnosis and treatment of pancreatic cancer is a world-class problem, and no major breakthrough has been made so far. Each patient’s specific situation and each doctor’s professional characteristics are different, so the treatment of a specific patient varies, and the results also vary greatly. Whether there is any room for improvement, I will only talk about my own experience from my own practice: 1. Hastily “confirming” the diagnosis: Due to the difference in examination technology and level of understanding, coupled with the extreme fear of “pancreatic cancer”, hasty diagnosis has laid the foundation for blind treatment. The status of imaging examination in the diagnosis of pancreatic cancer is increasing, and standardized examination is a prerequisite for confirming the diagnosis, please refer to my article (Re-understanding the status of imaging examination in the diagnosis of pancreatic cancer and how to do imaging examination for pancreatic diseases). There are many different kinds of pancreatic lesions and many different imaging manifestations, so not all doctors have advanced ability to read the films, and many preliminary diagnoses can only be rough or even have some errors. My experience: change from “definitive” to “progressive diagnosis” and always have hope. The treatment options for pancreatic tumors include surgery, chemotherapy, radiotherapy, thermotherapy, Chinese medicine and so on, each of which is further subdivided into several options. Since each patient’s condition is different (lesion location, invasion range, pathological type, etc.), the characteristics, indications, effects, timing, and complications of each method are different, so how to choose the appropriate one requires multidisciplinary discussion. For many “pancreatic tumors”, surgery may not be the only or at least the best treatment option. Deciding on a treatment plan based on only a few minutes in the clinic is inevitably not well thought out. My experience: compare fully and choose calmly. 3. Difficult to turn back: Surgery, radioactive particle implantation, Hepatitis B, metal stent implantation and other treatments are irreversible treatment measures that cause great local damage to the pancreas, and once implemented, it is difficult to turn back. Chemotherapy, Chinese medicine, Gamma knife, nasal bile duct and other measures have little local damage. My experience: when the diagnosis is in doubt, try to use treatment measures with less local damage. 4. Psychological breakdown: “pancreatic mass”, “pancreatic tumor”, “pancreatic malignancy”, “pancreatic adenocarcinoma The concepts of “pancreatic mass”, “pancreatic tumor”, “pancreatic malignancy”, “pancreatic cancer”, “pancreatic head cancer”, etc. have different meanings and different treatments and prognosis (please see my article: Hope for patients with “pancreatic cancer” (1): The difference in disease names). The lack of understanding, blind fear and psychological breakdown are the major causes of death of pancreatic cancer patients. My experience: face it openly, build up confidence, find out the doubt and create a miracle. 5. Combination: When patients have pancreatic disease, many of them hope to cure it, and use all the treatments they can do in a short time, not to mention the offsetting effects of various methods and the time required for each treatment to be effective, which is unbearable for patients in terms of physical strength alone. My experience: the combination should be careful, each treatment should be considered in terms of time to effect, the relationship between each other, etc.. Do not use all the treatments in one go, but keep a killer on hand.