Hello, this is Dr K.. Answers are not medical advice and do not constitute a doctor/patient relationship. I look forward to helping you today.
The level of cea is used overall to measure a patients response to chemo
Transient surges in CEA can occur after initiation of chemotherapy and are not associated with worse outcome
This means the the cea may increase temporarily when chemo is started.
It does not mean anything bad is going on
Ok. Well this was the pattern ...
October 8 ( when off chemo / xeloda as scans were taking place)
sorry sept was 9.8 while on xeloda, oct was 8 when off xeloda, folfiri started November and December cea was 9.
So a 1 point increase on chemo
worried re disease progression or more mets
Thats not really a change. And as I mentioned above, it can rise temporarily when chemo is started
Should cea not drop if chemo was working and the met was decreasing in size or disappearing ?
I dont think you are even reading my answers. I have told you above, twice already that a transient or temporary increase in the cea when starting chemo is normal and common. It does not necessarily mean disease progression.
Ok I see. Is 9 quite a high cea?
Normal is less than 2.5 For a smoker it is less than 5.0
My dad is a smoker
before also during chemo - xeloda , it was rising too therefore a scan was done and liver meta appeared