How should progress of terminal pancreatic cancer be monitored?

Goals of care: With a terminal condition, important to identify what are the goals of care. Depending on the direction of care there could be no monitoring to frequent monitoring.

Symptom control: The goal of palliative treatment of an incurable disease is to make the patient as comfortable as possible. Nausea medicine for intractable vomiting, narcotic pain medicine for pain, etc. Hospice services are well aware of these needs and early engagement of this service can be tremendously comforting for the patient and family.

Symptom control!: For most patients, focusing on comfort and quality of life is most important. Scans are not usually very helpful in the final stages, and can cause more discomfort than benefit for patients who are frail.