I am a health professional who has a very wonderful mother who had a bout of colon cancer diagnosed July 2009. I am really trying to understand the role of CEA elevation in surveillance for CRC recurrence. She underwent neoadjuvant chemotherapy w/ Xeloda, w/ radiation to the rectum. She had an 8 cm tumor at time of diagnosis. PET/CT was otherwise negative at that time and before her surgery in February 2010. She had "microinvasive" disease only at time of surgery, negative lymph nodes, and negative pelvic wash. She underwent adjuvant chemotherapy (although her heme-onc said she didn't really need it). She was a Duke's B, they gave her a 95% curative rate, although she had to stop the adjuvant chemotherapy d/t hand-foot syndrome. Her CEA was never elevated until February 2011. She now has a 5.3, which was repeated because it thought to be a mistake. Her repeat 4 weeks later was 5.0. She had a negative CT in October of 2010 (although she did have gallstones). She just had liver US/gallbladder scan which just showed gallstones. She also just had a negative mammogram.
Her heme-onc is now reluctantly sending for a PET, he doesn't think it's going to show anything.
How worried should I be?
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.