 In this clinical trial, if the doctor knows or suspects that a growth in the pancreas is cancer adenocarcinoma, then a sample of the growth is tested the test is called molecular profiling. The results of the test are used by the doctor to recommend therapy chemotherapy and radiation therapy that the patient will receive before having surgery to remove the adenocarcinoma. When the patient goes to surgery, the adenocarcinoma that is removed is tested again. The results of that test are used to guide the choice of therapy after surgery. 