First I am just a patient of this cancer for 39 month and I am no doctor.
Based on the last 2 messages that you wrote. the first thought that go thru my head is to let your doctor telling you about the condition of your husband at time of your next appointment; listening to what he said about the prognosis and you should ask specific questions to get the best pictures of your husband's current disease situation.Below is a web site about asking questions ;please pay special attention to the staging,treatment,clinical trials and support sections. Ask questions about your husband's PROGNOSIS is very helpful for you to prepare the future for you and your husband of this cancer.
http://www.cancer.net/all-about-cancer/ … ask-doctor
Since I understand your deep concern and want to know before the appointment;here I will provide some of my thoughts which may be completely wrong and different than your doctor. so just regard this info. as part of the educational process for this cancer.
1. the gallbladder has no bile in it ,that means it is not functioning normally;the sludge is like the precurser of the formation of gallstone but now this is not an important issue as compare to the cancer.
2."Pancreas: There is a regular mass seen in the body and tail of the pancreas. The mass causing occlusion of the splenic vein and encasement of the splenic artery. Significant splenorenal collaterals is noted." this is the part I will pay more attention to it. It indicated that in the lower part of the right side of the common bile duct( the total length is about 6-8CM long) that closed to the intestine, there is a mass or lesion or tumor (6x3cm) in size, growing in the body and tail part of the pancreas.In short, this mass is located near the bottom of the common bile duct; and that mass pressured the splenic vein(the blood vessel carries blood back to to liver and to the heart and lungs for re-oxygenation )and thus affecting the returning of the blood to the heart.
The other part '" encasement of the splenic artery." is of more concern (the blood vessel supplies the oxygen rich blood back to pancreas,liver and stomach). This artery is encased or surrounded or invaded or blocked by the same mass or lesion or tumor and that may take away the option for surgery.
3."Also, there is a 11mm length area of a severe narrowing or constriction of the distal common hepatic duct just proximal to the insertion of the cystic duct. Proximal to this area of severe near-complete stenosis the common hepatic duct measures about 5 mm. The common bile duct distal to the area of the stenosis measures about 2 mm." from this message, it described
another area of lesion or tumor (the 11mm long narrowing lesion) just the near to the entry of the cystic duct(the duct where the gallbladder connected to the common bile duct) . this narrowing of the duct is mostly likely blocking the flow of the bile(the digestive juice) from the liver to the intestine
and therefore cause jaundice and itching. BTW, the diameter of the common bile duct is about 5-6mm, and the left and right hepatic ducts are around 3mm wide. therefore from your message description, the report emphasizes ,quoted"this area of severe near-complete stenosis"-- this almost means a complete blockage.
If you consider the left and right hepatic duct and the common bile duct together is an oak tree( shape like a letter Y); that means there is a tumor(11mm narrowing lesion) on the upper middle part of the trunk and there is a 6x3cm mass at the bottom right of the trunk. see below link for physiology and anatomy if you are interested.
As a patient, I sincerely hope everything will go as smoothly as possible in your way.And I hope the Grace of our Lord, will extend His hand, as He had done to me ,to your husband.
Keep in touch and
Please know that my personal opinion is not intended nor implied to be a substitute for professional medical advice. If provided, information are for educational purposes.Consult doctor is a MUST for changing of treatment plans.