My brother 51 year old had a expl laporotomy on 15 feb 2010, a single lymph node in the omentum was positive for adenocarcinoma with primary in GB ,underwent 8 cycles of chemo wIth Gemcytabine & cisplatin & also IMRT 25 cycles local radiation with gemcytabine .HIS CA 19.9 was initially 2400, then 400 in august but now is 3200.His latest PET SCAN shows some spread in liver, pancreas, infraclavicular node & is now being treated with CISPLATIN & CAPECITABINE. WANTED TO GIVE HIM THE BEST TREATMENT AVAILABLE ANYWHERE IN THE WORLD HENCE USING THIS FORUM
CA 19-9 is a tumor marker in gall bladder cancer and raised levels are used to detect secondaries or spread of cancer. Therapy is based on the stage of cancer and also on the histological grading of the cancer. With therapy the CA 19-9 levels should come down.
Thanks Anitha, he has already recieved chemo with gemcitabine& cisplatin 5cycles followed by IMRT -25CYCLES OF local radiation with gmcitabine, his ca 19.9 was 2400 to start with came down to 400 but after another 4 cycles of gemcet& cisplatin went up to 3200, hence feel IMRT& NEXT CHEMO WAS INEFFECTIVE, NOW has been advised chemo with cisplatin & oral capacitabine for 4 cycles. My problem is till now he has not had any symptomsof the disease per say but the chemo is like a torture & may be not effective in his case, he feels tempted to try some alternative system of medicine , some friend suggested dharamshala where the Dalai lama 's physician has some good tibetan medicine for Ca gall bladder hence wanted some help from this forum
Understand your predicament. I am not sure how effective the alternative systems of medicine are. He may not exhibit any symptoms now, but as the secondaries spread he is likely to show symptoms. Along with the tumor markers, monitoring the original growth and whole body scan may help assess the status.
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.