Today my husband was told that he had stomach and pancreatic cancer with associated peritonitis, that the cancer was advanced and only palliative care would be the next step. From the information I have collected online, the pancreas and stomach are rarely connected as far as cancer advancement. Pancreatic cancer is indicated through a yellowing of the skin, which he does not have. His brother died from pancreatic cancer, he worries about this and has mentioned it in consultations previously. He is also an ex-smoker. I am concerned that these circumstances maybe colouring the diagnosis? He has been advised that chemotherapy may have limited effect on the cancer, and he is worried that he might be committing himself to a treatment which would cause undue distress without improving the prognosis. Do you have any advice please?