I am sory to convey that your patient is in advanced stage of pancreatic cancer. The chills
which your patient is getting may be because of the secondary infection caused due to reduced resistance and immunity of the body. Could be pt. needs a blood culture
and sensitivity test done for identifying the organism and appropriate antibiotic treatment.
To prolong the life may be appropriate chemotherapy/targetted chemotherapy with intensity modulated Radiotherapy
may be helpful. Take advice from the well to do Oncological centre who can suggest whether only palliation is needed or or any of the above treatment will be helpful after evaluating the patient completely.
Dr. J. Ticku