Question My father is 77 years old, he was colon cancer patient on 2009 and Had surgery and chemo and recovered, cancer is back, discovered last March on liver, lung & brain- he's taking chemo tablets now Xeloda 500 (8 tablets/day) after 10 sessions of Brain Radio therapy, CEA 860 (maximum is 7), CA19.9 480 (Maximum is 37), this test was on March before we started chemo, we made the test again after his first dose of chemo, the result is CEA 2554, CA19.9 437. My question is CEA can get that high over 2 months period? is this means he's not having the right treatment?
Answer As far as I can judge the situation your father is receiving the best available treatment. That does not mean that I can guarantee any good result of this treatment or any other. His prognosis in this situation where his cancer has spread to his lungs, his liver and most important in this case also to his brain is unfortunately very bad. CEA is related to tumour volume but also to other factors like how many cancer cells that die off at the moment of testing. Even if his prognosis is bad it is likely that his treatment has some - though temporary - effect. That can nfortunately, in this situation have to be pessimistic. I'm sorry I have nothing better to tell you!
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,
Education/Credentials I'm a medical doctor and specialist in medical oncology and radiation therapy