Ask a Doctor and Get an Answer to Your Medical Question ASAP
Hi there. Thank you for your question. I will be helping you out with your queries
Yes, what do you want to talk about?
Please let me know.
Please send details of blood test.
Wel father had surgery bowel cancer in march . Was dukes c1. No distant spread .scan in april
Scan in april
Was clear. Recent pet showed a liver met 16 mm with SUV of 5.2 and I met In aortocaval node .
Cea blood was -
Sept 9.8, oct 8, dec 9. He started folfiri 4 weeks ago
Has had 2 cycles
But cea has not dropped ?
But it has not risen as well.
Its pretty stable
So as long as the other tests like a CT scan or PET scan are okay I would not worry
Has he had a PET scan?
ok. But if chemo working would it not decease?
Had 2 cycles
but only CEA should not be the factor determining everything.
it is only one consideration.
Other tests, particularly a PET/CT would give us a lot of information on the spread of cancer to other parts of the body.
Pet was only done on October which showed the 2 things . They said will scan in jan. But from ur knowledge cea should
Decease right ?
Yes it usually does decrease with therapy.
You are right.
But, since it is not increasing, that is also not too bad.
Should it start to decease after 2 cycles?
Im concerend chemomnot
I'm concerned chwmo
Yes it could decrease after the two cycles.
I'm concerned chemo not working
well, we cannot be sure at the moment.
It may not be working as we expect it to work.
The one he having is folfiri . How effective is that. ?
It is very effective
He did not have too much wide spread . Was I liver met and 1 node so jm
So im surprised
CEA should be continuously monitored as it is being done already.
So does this indicate more mets ?
does not indicate more mets
if there were more mets the CEA would rise further
But why has it not dropped? What does folfiri actually do ?
So respond really well whereas others may not respond as well.
Folfiri is a combination of various chemotherapy medications that have various mechanisms.
Some** respond really well whereas others may not respond as well.
wat prognosis like for a single liver met and 1 met in the aortocaval node ?
There is a liver mets and mets to the aortocaval node.
So the prognosis is not excellent
Because any metastasis means stage 4 cancer.
I met in the node and 1 liver yes.
Approx are we talking years ? But can chemo kill
Them both ?
We cannot say for sure.
But the chances of long-term survival are not great
15-20% chances of 5 year survival
More than 3,5?
I'm am confussed that the April scan was clear but the sept dvam
I understand your frustration
But there is a metastasis to the liver
which does not make the outlook really great
On folfiri can more mets appear or unlikely ?
Mets can appear but this medication will reduce the mets that are already present and reduce the chances of new ones.
as it's 1 small one only can it not just be gotten rid of?
And both where picked up
And both were picked early does that make a difference ?
Yes it does make a difference which is why I mentioned the survival up to 20%
I mean for 5 years
If it were multiple mets the survival in 5 years is less than 10%
So do you say def above 3 years ?
There is no saying that for sure
we cannot be sure
Let me know if you have any further questions. I would appreciate it if you rate me for my services when you are done asking.Kindest regards
what does it depend on ?
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.What happens now?If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
What does prognosis depend on?
What does prognosis depend on ?