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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 65296
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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On oxyplatin n raltitrexed colon cancer . Cea

Customer Question

On oxyplatin n raltitrexed for metastic colon cancer . Cea was 65 few days before first infussion and 3 weeks after it jumped to 78.
Alp blood test is 175.
Does this indicate chemotherapy not working?
Submitted: 2 years ago.
Category: Medical
Expert:  DrRussMD replied 2 years ago.
Hello
No
Way to soon to tell.
You have to follow these levels over time to see if they come down.
Not simply after the first infusion.
OK, so that is an initial answer….
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 2 years ago.

Previous was in irinotecan and cea was rising on that too slowley and ct scan showed progression . So could same b happening this time .

Also ALP in march was 75 and is now 170 what can this mean?

Expert:  DrRussMD replied 2 years ago.
It could be happening, but, as I am sure your doctors have told you, it is too soon to say.
An increase of ALP can indicate bone destruction, or liver destruction.
A scan of the liver should be done.
Calcium and phosphorous levels should be done at this point, if not done.
please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 2 years ago.

What do these destructions mean ?

Expert:  DrRussMD replied 2 years ago.
For example if there were spreading tumor in either location.
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