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Dr. David
Dr. David, Board Certified MD
Category: Medical
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Experience:  Board Certified Physician
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Doctor, I have been informed by my oncologist that my

Customer Question

Hello Doctor, I have been informed by my oncologist that my CEA in a recent blood test is elevated to 64, And he is sending me for a CT scan. I have had colon cancer surgery last year and in Aug had liver resection. I was very ill after this op and was in hospital for 8 weeks. At the start of my treatment I was told that I would have the bowel surgery then 12 sessions of chemo, after six chemosynthesis I was rescanned and was told that the tumours had shrunk on the liver and could have the liver op done. Last week I had colonscopy done and was told everything looked good. The oncologist said that he wasn't going ahead with other six chemo that I had been through enough and would just keep a check up on me, and would see me in six months, so he did a blood test and I was very shocked when he rang me to tell me about CEA. Could you explain what could cause this, I am very worried.
Many thanks
Sylvia
Submitted: 10 months ago.
Category: Medical
Expert:  Dr Basu replied 10 months ago.
Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.CEA can be elevated due to the any intestinal inflammation.Mild elevation is often false positive --not significant to consider cancer recurrence.That is CEA is a marker for monitoring but not good for diagnosis.This needs to be confirmed by the CT scan as well.Normal colonoscopy is very reassuring.That puts you at low risk for any recurrence.I think you should wait for the CT scan result without worrying too much.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable and authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/
Expert:  Dr. David replied 10 months ago.
This is Dr. DavidI am a cancer doctor.CEA of 64 is high.it sounds like your colon cancer has spread to your liver already. and you had one liver resection.this CEA level of up to 64 may be due to recurrent colon cancer in your liver or in your pelvis.what is better than a CT scan is a PET/CT scan. which can look at your liver.a colonoscopy only looks inside of your colon and doesn't look at your liver or peritoneum.what has your prior CEA levels been? if this is a jump from your prior CEA levels, it could be a sign your colon cancer has come back somewhere in your body.let me know if you have other questions.if done for now, please leave positive rating above the chat box so I can get credit for helping you todaywe only get credit for helping clients after positive feedbackyou can always reach me with "a question for Dr. David" in the medicine or oncology categories if you have any other questionshere is my website if you need to reach me again:http://www.justanswer.com/medical/expert-dr-david/Thanks for using JustAnswers.com
Expert:  Dr Basu replied 10 months ago.
Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.I do not see you mentioned about CEA value.But assuming this is in double digits, this is not considered significant elevation.Since you already had liver resection, another spread is unlikely without any colon involvement.You also had 6 cycles of chemo which is considered good dose still.Hence recurrence risk is still low.On the other hand, any intestinal inflammation can cause CEA elevation commonly.Hence, better to wait for CT scan result first.PET CT scan is better to look for any spread.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable and authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/
Expert:  Dr. David replied 10 months ago.
This is Dr. DavidI am a cancer doctorI do see where you wrote your CEA blood levels. you said your CEA now is 64. if your prior CEA levels were lower like 10 or 20 then a CEA jump up to 64 could be a sign of colon cancer recurrence.colon cancer can spread to the liver without local recurrence in the colon. we see this often.other blood test you can have are CA 19-9 and CA 125 which can sometimes be elevated with colon cancer recurrence.a CT scan should be done with IV contrast as the best way to look for colon cancer recurrence in your liver.IV contrast helps light up blood vessels in the liver.you might need blood work to check BUN and Creatinine blood levels prior to the CT scan to check on kidney function to make sure your kidneys can take the IV contrast.let me know if you have other questions.if done for now, please leave positive rating above the chat box so I can get credit for helping you todaywe only get credit for helping clients after positive feedbackyou can always reach me with "a question for Dr. David" in the medicine or oncology categories if you have any other questionshere is my website if you need to reach me again:http://www.justanswer.com/medical/expert-dr-david/Thanks for using JustAnswers.com

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