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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 47511
Experience:  Board Certified Physician
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What can the following mean : 1 point cea increase

Customer Question

What can the following mean : 1 point cea increase
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.
Dr. David :

This is Dr. David

Dr. David :

it most likely does not mean anything.

Dr. David :

he is getting chemotherapy currently

Dr. David :

any sort of inflammation can cause CEA levels to go up to 9.

Dr. David :

it does not mean his colon cancer is spreading. or progressing.

Customer:

Well he was 9.8 in sept , oct 8 (it dropped in oct for some odd reason whilat chemo was stopped - xeloda ).and today was 9.

Customer:

With chemo if working cea should be decreasing

Customer:

Initially when it started rising from 3,4,6,8

Customer:

That's when them

Customer:

That's when the liver met and node was found

Dr. David :

that CEA level of 9 is still very low.

Customer:

But the increae of 1 poimg while

Customer:

But the increase on 1 point from 8 to 9 while on chemo means that the tumor not shrinking ?

Dr. David :

no, it does not mean that.

Dr. David :

it could be from inflammation from the chemo.

Customer:

How many cycles does it take for chemo to start having an effect ?

Dr. David :

that varies from patient to patient.

Customer:

Ushpuld

Customer:

Should it wworl

Customer:

Should it work by 2 cycles?

Dr. David :

the only way to know is to get another CT scan.

Customer:

Could it be the folfirI nlt

Customer:

Could it be thy folfiri does not work ?

Dr. David :

I would not try to read too much in to the CEA levels.

Customer:

Have you had cases where folfiri does not work on ppl? I though with limited mets it would work better ?

Dr. David :

yes, for some people the foluri does not work and the cancer grows and spreads.

Customer:

Even enough there was 1 met and 1 node met do far could it still

Customer:

Could it still

Customer:

Not work

Dr. David :

yes, there is a chance it could still not work.

Customer:

Does it usually work in 80-90 percent of ppl?

Customer:

I was expecting the cea to drop

Dr. David :

the percentage is usually not that high.

Dr. David :

more like 50/50%

Customer:

Should it start working from 2 cycles?

Dr. David :

there is no evidence that the chemo is not working now.

Dr. David :

CEA up to 9 does not mean the chemo is not working.

Customer:

I'm getting myself in a panic over everything right

Dr. David :

yes.

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