Additionally, changes in the concentrations of ALPPL2+ and THBS2+ exosomes strongly correlated with radiographic tumor size changes during treatment in both CA19-9-elevated (p = 0.016 and 0.014 for ALPPL2 and THBS2, respectively) and non-elevated patients (p = 0.003 and 0.006 for ALPPL2 and THBS2, respectively). This evidence concerns the gene ALPG and neoplasm.