My brother 51 year old had a expl laporotomy on 15 feb 2010, a single lymph node in the omentum was positive for adenocarcinoma with primary in GB ,underwent 8 cycles of chemo wIth Gemcytabine & cisplatin & also IMRT 25 cycles local radiation with gemcytabine .HIS CA 19.9 was initially 2400, then 400 in august but now is 3200.His latest PET SCAN shows some spread in liver, pancreas, infraclavicular node & is now being treated with CISPLATIN & CAPECITABINE.