Spanjer was referred to the multidisciplinary pancreatic cancer team at the CU Cancer Center, where she met with Wells Messersmith, associate director of clinical services, in January 2018. He had taken her case to the pancreatic cancer multidisciplinary team. “In that setting we have about 20 people reviewing her case, and there were abnormalities on the scans, things that we weren’t sure about,” Messersmith explains. “She had what we suspected were lesions on her liver, but we weren’t entirely certain.”