Oncology (General Cancer)/tumor tests

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Question
i am 46 years old female, i made CEA (1.7 ng/ml) up to 5, and CA 125 (12 u/ml) up to 35, and CA 19-9 (35 u/ml) up to 37, is CA 19-9 is  normal high? the doctor said its normal but if im concerned i can make M2-PK (Schebo test) just to be sure everything is okay. im worried my father had colon cancer when he was 73 he is now cancer free.

Answer
I do not recommend to use tumour markers in this way (except maybe with regards to PSA for prostate cancer) - for primary diagnosis - as they are far too uncertain! But since you have already done so I have to comment. In your shoes the levels of CEA & CA 125 would not alarm me in any way. Your level of CA 19-9 is somewhat more uncertain. So in your situation I would probably check it again. But what is sure is that since you have Colon cancer in your family and are no longer a teenager you do need to have your colon checked regularly, say once per year. It is best to start that now while your risk is still rather low. The best way to do that is by regular colonoscopies! Bot my wife and I do so regularly - her mother died of colon cancer and my rectum has been heavily irradiated due to prostate cancer treatment. So I DO recommend that you start such checks! In my opinion better than that other test you have mentioned. Good luck!



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Oncology (General Cancer)

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Claes-Gustaf Nordquist, M.D.

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Questions concerning Cancer, Oncology, radiation Therapy, Tumours, Chemotherapy, Cytotoxic Drugs, Hormonal Therapy, Radiation Protection.

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I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions in the number of questions there. I also answer questions in these other categories: General History, Military History, Brain Tumors, Breast Cancer, Colon Cancer

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I'm a medical doctor and specialist in medical oncology and radiation therapy

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