I am getting ready to start Doxil chemo tomorrow because I am having recurrent ovarian/peritoneal cancer. I was in remission for almost 2 years but my CA 125 count the last time it was drawn was 704 which was early March. My last CT scan didn't show anything and I was wanting to know since I am feeling fine, if I should wait to start chemo until something is detected on a CT scan or I should go ahead and start treatments right away?
A Ca125 level of 704 raises strong suspicion of relapse. You should undergo a PET-CT which may detect the areas involved even though the CT scan was unable to locate any tumor. Once you document the location and size of a lesion, it will be easy to measure your response to chemotherapy by repeat imaging after your courses are completed.
You were in remission for 2 years, and are likely to be platinum sensitive now. I hope you will have another long remission.
All the best, and God Bless!
Thanks for your response. My last CT scan was 1/15/09 and my dr hasn't said anything about another CT scan. Should I insist he order one? I have asked him before about PET scan and he said I didn't need one of those because the CA 125 and CT scan are telling him what he needs to know.
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