3-5-2010 Pam met with a Moffitt Cancer Center physician in the GYN clinic in a followup to her May 2009 visit. In comparing pathology reports from June 2009 and February 2010, we learned that the reports focused more on cancer cells in the bile duct in the liver than cancer cells in the ovaries. In view of all the chemotherapy treatments with no consistent measurable results, the doctor believes that a diagnosis of cancer of unknown primary is appropriate. Pam will be referred to a medical oncologist in the Moffitt GI Department for review and evaluation of GI tract adenocarcinomas and possible diagnosis of cholangiocarcinoma (bile duct cancer). We were unable to speak to any member of the medical staff in the GI Department or anyone familiar with phase I clinical trials.

The visit to Moffitt did not meet our expectations,, but we must now be more assertive and diligent in seeking test results and comparative analyses.

Your prayers and blessings have brought us comfort and hope. We remain optimistic for a treatment that will make Pam more comfortable.