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CA 19.9 level of 38.1

My test showed a CA 19.9 level of 38.1.  My lipase levels have been in the mid 400's for several months.  The ultra sound showed just a "fatty " pancreas.  I have had mid-left back discomfort for months.  No pain. No jaundice.  Appetite seems ok.

What is my next step?   Doctor said come back to be retested in two months.  After checking the web, I realized I could be dead in two months (unlikely, but let's play this safe)

I live in Europe.  I hope you can give me advice.  Female, age 62, family history breast, ovarian & prostate cancer.  Renal insufficiency.  

Many thanks,
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Avatar universal
Please work closely with her doctor to resolve the issue. This level is mildly elevated, and several benign causes can elevate the CA19-9 above 100. I have a chronic, benign biliary disease and my CA19--9 has drifted up to 150 or so several times. Hoping that she will be well and they resolve things for you. Take care.
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Avatar universal
Hi doctor my mother is having jaundise from few dahs and ca 19-9 results 173.16 and biological reference level high <1.20 -30.90 u/ml please tell us about the report what it is showing
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Avatar universal
Respected sir,

My wife is suffering in pancreas cancer. Before   chemo and radiation her CA 19.9 was 481 but after chemo and radiation its rise up to 1862.32 within 3 months and not only this, the pancreas tumors spread on liver also. fFirst on pancreas head and size was more than 3 cm. after chemo and radiation its on pancreas ( size-2.5) and spread on liver in eight section ,last section( 8th) size is 2.2 and others are less than 1 cm. After this incident she become more week and feeling uneasy and i stop her chemo which was recomand her doctors for further high doses chemo. I start the diet therapy of Dr. kelly and stopped direct sugar and glucose based foods to eat. I notice within 2 monthes that she feels good , I also used, creon 25000 as the replace enzym of pancreas for her proper digest and its work  after 15 tin days, I test her CA 19.9 and seen that its still rising from 1862.32 to 1901.30. I am using half hot chilly also in the morning with hand made bread. According to previous report of CA 19.9 ,it was increas from 481 to 1862.32 within 4 months, that means monthly increas ratio was 345.33, that means in 15tin days it was increased 172.665, but at present i notice that using this diet therapy its increas in 15 tin days only 38.98. So tell me please is it a good sign?
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Avatar universal
Respected sir,

My wife is suffering in pancreas cancer. Before   chemo and radiation her CA 19.9 was 481 but after chemo and radiation its rise up to 1862.32 within 3 months and not only this, the pancreas tumors spread on liver also. fFirst on pancreas head and size was more than 3 cm. after chemo and radiation its on pancreas ( size-2.5) and spread on liver in eight section ,last section( 8th) size is 2.2 and others are less than 1 cm. After this incident she become more week and feeling uneasy and i stop her chemo which was recomand her doctors for further high doses chemo. I start the diet therapy of Dr. kelly and stopped direct sugar and glucose based foods to eat. I notice within 2 monthes that she feels good , I also used, creon 25000 as the replace enzym of pancreas for her proper digest and its work  after 15 tin days, I test her CA 19.9 and seen that its still rising from 1862.32 to 1901.30. I am using half hot chilly also in the morning with hand made bread. According to previous report of CA 19.9 ,it was increas from 481 to 1862.32 within 4 months, that means monthly increas ratio was 345.33, that means in 15tin days it was increased 172.665, but at present i notice that using this diet therapy its increas in 15 tin days only 38.98. So tell me please is it a good sign?
Helpful - 0
Avatar universal
Hi doctor, my CA19.9 is 40U/ml, what am I suppose to do? My doc say its normal.. But is that really normal? Am I need to go for treatment? My age is 29..pls advice me
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Avatar universal
I was suffering from jaundice and right upper stomach pain.Ultrasound was done and result was pancreatic head mass  visible. CA-19.9 is 25.1.No weight loss,no family history of cancer.Age 27,Male.
MRCP also done subsequently and still showing the mass.
CECT was done and they told there is no mass.I underwent Diagnostic lap and lower CBD stricture(benign) was identified and corrected with hepaticojejunostomy.There was no pancreatic mass observed during surgery.
My doubt is that How the mass suddenly got disappeared?(Mass in USG and MRCP and no mass in CECT and diag lap)
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Avatar universal
Hi Dr Fernando

My father age 62 is having dilated bile and pancreatic ducts since one year . It started with a sudden abdomen pain later diagnosed as pancreatitis pain on 12 may 2011 . This time CBD was dilated and doctor did the ERCP and stenting, however there was no fever or signs of jaundice this time and CA19.9 was normal 22 . Nothing remarkable was found in CT scan except dilated CBD and inflamated Pancreas . After 3 months we got stent removed and he stated living normally unless after 3 months of stent removal he showed signs of Cholangitis with fever and itching .
He was immediatley hospitalised and was done Endoscopic Stenting and EUS . Through EUS they took the Biopsy sample which was negative . However doctor suspected it as a tumor since there was some swelling in Preampullary region .
Now recently he was again hospitalised due to low fever and was diagnosed a small absess/infection in preampullary region They again had the CT scan and EUS done with stent replacement and they drained the absess . This time again Brushing from bile duct and multiple biopsies were taken that again returned negative .

Yestreday we had the CA19.9 done which measured 60 and LFT and other tests normal .
Doctors are advicing Whipple Surgery for the safer side

However we are still not ready since surgery is very big and his overall health is good .
He is stable in weightloss since he weights 74-75 KG from past 6 Months .

Even when stent is there he still has dilated CBD and MPD . CBD: 14 MM  and MPD :7 MM .

The time when he was first admitted in May 2011 MPD was not dilated and Doctors said he just have a stricture in lower end of CBD with bulky papilla .
We do not have a cancer family history with NO alchohol and Smoking .
My father overall health is OK and he lives a normal life .
He is Non Diabitic
Twice EUS biopsies have been negative with negative Brush Cytology .
Every one is very tensed and my heart does not say that there can be cancer as he lives a very active and healthy lifestyle with every Day Exercises and Yoga Since 20 Years .
It is almost one year now when he was first hospitalised doctors are still not sure why he had this problem .

Really need some professional advice what we need to do now?
Whipple is Big Surgey and dont know when Doctors are not even sure how they can do it ?


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Avatar universal
Dear doctor Fernando , I done a full body check up at path lab a week before after caeseraen . I had my caeseraen four months before and still on breast feeding . The cancer marker ca 19.9 was increased to 72.3 which I was told I might got a small intestine cancer. I was told its very high. I am worried but I don't have any symptoms expect constipation. Please advice me .
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Avatar universal
First, Doctor, you are an Angel to provide this mental and emotional comfort to us for free. Thank you.
My friend used a Rife machine and also used chemotherapy to become cancer-free from Stage 4 adenocarcinoma of the pancreas as of March 2011. His CA- 19-9 was very close to 37. Now it has increased in the past few months to over 300 but his CT and PET scans are negative and he feels and looks great!!?? There are other reasons for eleavted CA 19-9 values besides malignancy. Is it merely wishful thinking to explore those non-malignant possibilities before letting his doctors ramp up his chemotherapy?
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Avatar universal
My Whipple's procedure was done in December 2010. The preoperative CA 19-9 was 140. After the operation pathology results showed that my lymph nodes were negative and the margins were clear too. The tumor was staged as T3.  A month after the operation the CA 19-9 was 42.

Since then the CA-19-9 is checked on a monthly basis and it fluctuates a bit ( 40, 44, 44, 47, 29, 32, 32, 40). My CT scans results always came clear. I am feeling good and have a great appetite.

Should I be expecting my CA 19-9 to be under 37 at all times or the reading I have is normal for someone with my history?

Thank you kindly.
Helpful - 0
Avatar universal
My Whipple's procedure was done in December 2010. The preoperative CA 19-9 was 140. After the operation pathology results showed that my lymph nodes were negative and the margins were clear too. The tumor was staged as T3.  A month after the operation the CA 19-9 was 42.

Since then the CA-19-9 is checked on a monthly basis and it fluctuates a bit ( 40, 44, 44, 47, 29, 32, 32, 40). My CT scans results always came clear. I am feeling good and have a great appetite.

Should I be expecting my CA 19-9 to be under 37 at all times or the reading I have is normal for someone with my history?

Thank you kindly.
Helpful - 0
Avatar universal
sir,
my father had jaundice . ultrasound suggested obstruction in gall bladder.the
doctor found a lesion while doing ercp and took brushings. the brushings have come out to be non malignant but CA 19 9 shows 89.5. what should i do..i m really worried now..  please reply at the earliest...
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Avatar universal
My mother had a stone in pancreas and was suggested for ESWL treatment.She had undergone the treatment 5 times but no results were found and it lead to chronic pancreatitis and 10 days ago had gone under a surgery named pancreatic jujonomy.In may her CA 19.9 was 88.8 but now it is 526.26.Is it more and is it developed to pancreatic cancer and if yes is it treatable through pancreas removal i.e.whipples procedure or through chemotherapy.Waiting for reply.Thank you.
Mail id  ***@****  
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Avatar universal
After reading all the comments above I am more confused and fearful now. For the past 1.5.years I have tested my ca19.9x 6 times, and they are all above normal reading. My GP has advised to seek specialist opinion or ask for a colonoscopy. I just feel so violated, yet I am fearful.
I have no symptoms at all. I am a 54 year old menopausal woman, who has the history gastric issues and H-Pyloric positive for 2 years, and finnaly rid it off last year.  
Please advise. I am so fearful of anymore of biopsy, as I am scared of the results as well.
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Avatar universal
Sir
           I am furnishing the following details about my case

• Started with the pain in upper abdomen in Jan, 2010
• C T scan conducted on 20/1/2010 showed “ Enlarged Lymph nodes in Porta with dilated pancreatic duct with CBD at upper limit of  normal”.
• Diagnosed as chronic alcoholic pancreatitis. Amylase  and lipase  were found as 290  and  310    respectively. Since 201/1/2010 to today the amylase has varied from min  57 to max 385 and lipase min 51 and max 3763.  
• Started medicine ‘Panlipase”
• Improvement in Pain
• Meanwhile in February (  5/2/2010 )  metabolically active enlarged lymph nodes were seen in the upper middle and lower deep cervical region .
• FNAC and pet scan done on 11/2/2010. Diagnosed as Hodgkins II B .
• Stated chemotherapy with ABVD on 13/2/2010 .
• After 3  cycles  of chemotherapy on Whole body PET –CT  (10/5/2010 )  Showed
(i) Total Metabolic and Morphological response to lymphnodal disease.
(ii) Metabolically active pancreatic abnormality which was not a part of the original disease process needs further Evaluation.
• For further evaluation CT was conducted on 22/5/10 .CT scan Showed
“Compared with old CT The pancreatic duct and lymph nodes in Porta  has decreased in size Nacrotic area has appeared in uncinate process of pancreas with



sub mucosal collection seen in second part of  duodenum( not seen in the old Scan) – likely post chemotherapy necrosis.
• Advised to continue  Chemotherapy  -- Total 6 cycles
• Liver function Test  Report conducted on 29/5/10 showed normal  parameters.
• EUS  Guided FNAC conducted on  4/6/2010. Report is being enclosed.
• Chemotherapy as due  conducted on 11/6/2010.
• Recently Developed jaundice . CT scan conducted on 18/6/2010. showed
“Compared  to previous CT scan done on 22/5/2010 there is increase in size of the ill defined heterogeneously enhancing  area involving pancreatic uncinate process along with significant obstructive biliopathy that was not present in the previous scan. The size of the lymphnod in the porta reveals no significant time interval change . The submucosal duodenal collection has mildly decreased in size. Pl correlate clinically “
• A 10 F x 10 Cm stent was placed across papilla to drain the bile into duodenum. Slide of Brushing taken during ERCP on 12/6/2010 shows benign mucosal fragments  NEG: no evidence of cancer in the specimen.
• Already undergone  C5 D1 of chemotherapy and left with 3 more sittings of chemotherapy.
Please advice next course of action/ treatment .
   avis

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Avatar universal
My mother suffers from Pancreatic cancer stage 3. She has had 8 sessions of chemotherapy including gemcitabine, and her ca level is rising every month. its now above 500. Does it mean the cancer is spreading? she is asymptomatic at the moment. Once the ca level rises rapidly does it mean we are losing her rapidly too?

P
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504967 tn?1334499258
On the 24.4.2008, i went in as a asymptomatic person and did my complete blood test.
All the other result were in the normal range except for the Tumour Marker CA 19.9  showed up as 55.  After having waited for a year with no symtoms whatsoever I went in
to check my CA 19.9 level on 20.4.2009 and to my dismay it shot up to 71 with no symptoms. I was rather upset and went in for another CA 19.9 level test on 18.8.2009 and my CA 19.9 level dropped to 53.
The only problem which I am having for sometime is a swolllen thyroid nodule. I have got this espirated on the 15.7.2009 and the Doctor tested my TSH, T3 and T4 which was also within the normal range. The result showed that it is a benign cyst (not malignant).
The Doctor (Endocrinolgist) told me to come next month to medicate me on the Thyroid Nodule.

Looking at my above case, is it necessary for me to go for another CA 19.9 test or just treat the thyroid nodule. I also wish to know wetghr the swollen thyroid nodule has in a way increased my CA 19.9 reading.

Thank you,

Suresh
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Avatar universal
I am new on this site and i am sorry i don;t know to whom i will address my query at all... i really need comments/answers for my fiance's condition... pls..

My fiance in this past few months (approx. 2 months) has been suffering from too much gas in the stomach esp. after eating, pain. bloated stomach, he is losing weight as well, fatigue and body malaise... apparently, he went to a physician to check himself coz it is really anoying. his blood test is ok except for elevated Alkaline phosphate and sadly, after performing scan on his stomach they found a pea-size lump. i am not sure whether in which organ particularly the doctor didnt mentioned as well, they just said lumpin the stomach.... Moreover, after he found out that he has this lump, he was advise to do endoscopy and to take sample as well for biopsy. the problem now is that the doctor is inconclusive of what is really the problem or whether he is having cancer or no. He was advise to take this Ca 19.9 test. and we are still waiting for the result...

We are so worried... we are suspecting him of having cancer... cancer of what probably? we still don't know...the doctor's inconclusion is adding agony to us as well... we are in the middle east and sorry to say health care system here is not that well...

Anybody can give me his best opinion on my fiance's case? what else do we need to do? I need any information, suggestions, advise that u may have....

Please...
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Avatar universal
Dear Fernando, MD.

I think that is very usefull to have this open line to advice people concerned with their parents (the most of the cases i´ve read).

My father has stomach cancer; we both know 6 moths ago.
Today, i´ve experienced a comment from my father´s docter that let me very confused - the ca-19.9 level is HIGHER THAN 120.000 (yes 120.000 units per ml). The doctor is a senior oncologist MD, and he told me that he doesn´t ever seen something like this. My father is making chemotherapy, once a month, since November of 2008. I don´t know what i should tell to my father and what i should think, because this huge number (usually < 37un/ml) is greater than 120.00 (not measured, i mean than could be 200.000 or 300.00). Very thanks in advance and  Very best regards Paulo (from Portugal)
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Avatar universal
CA19-9 =72 in Jan;CA19-9=85 in Feb; ESR, CRP, Amylase, Lipase within normal limits;should I be worry(I am freaking out, really), any sugestions?
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Avatar universal
Hello,

My mother-in-law has just received her CA 19.9 test results.  The level was 1,002.  Her pancreas is enlarged as well as her liver.  The dr. put a stint in the pancreas to get the bile flowing again.  Her jaundice has reduced, but she is still having back pain.  She isn't loosing weight.  With that elevated level, do you consider it to be cancer?  

She is 74 years old.

kdb
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Avatar universal
hi ..
My aunt had symptoms of gallstones. On conducting a CT scan, doctors saw a alongwith 4 calculi of 1 cm each, a neoplasm of size 4cm * 2.1cm.  They suggested to take a CA19.9 test. The CA 19.9 level report shows a level of 6.68. Now this figure looks to be normal.

Please suggest what can be the next course of action, Doctors initially suggested a removal of Gallbladder, some part of deodenum and stomach and some part of small intestine.

The symptoms were a severe abdominal pain and acidity, also a weight loss of around 10kgs in a month.

Now I need to consult some good doctors, but I need to go prepared, as their claims seem to have faultered.

Your suggestions will be a great help. I live in India.
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Avatar universal
MEDICAL PROFESSIONAL
Hi.  For a more definitive test, I would suggest that you have a whole abdominal CT scan done.  This is a more sensitive test than ultrasound for detecting masses in the abdomen, particularly in the pancreas.  If no pancreatic mass is present on CT scan, and if you don't have any other symptoms, then there is no need to have the CA 19-9 repeated in the future.
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Avatar universal
Thank you for your prompt reply.

What would u advise shld i go for ultra sound or CT scan for both abdominal n stomach ?
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