
Suggest Treatment For Increased CEA Count When Having Colon Tumor

Brief Answer:
CT scan of whole abdomen
Detailed Answer:
Hi
Since the CEA is rising with irinotecan i would advise you to do a CT scan of whole abdomen.
If the metastatic colon tumour is stable radiologically meaning there is no increase in diameter of metastatic liver and aorto caval node lesions then irinotecan can be continued but if there is increase in the diameters of the lesions in the scan then irinotecan needs to be stopped and third line chemotherapy needs to be started.
Regards
DR DE
CT scan of whole abdomen
Detailed Answer:
Hi
Since the CEA is rising with irinotecan i would advise you to do a CT scan of whole abdomen.
If the metastatic colon tumour is stable radiologically meaning there is no increase in diameter of metastatic liver and aorto caval node lesions then irinotecan can be continued but if there is increase in the diameters of the lesions in the scan then irinotecan needs to be stopped and third line chemotherapy needs to be started.
Regards
DR DE
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


Should the cea rise like this ?it seems to be 1 point per month ?
Brief Answer:
radiological asessment necessary
Detailed Answer:
Hi
As the CEA is rising even if it is 1 point it may indicate the disease is spreading and that is why radiological picture is necessary to plan the next course of action needed to be taken.
Regards
Dr DE
radiological asessment necessary
Detailed Answer:
Hi
As the CEA is rising even if it is 1 point it may indicate the disease is spreading and that is why radiological picture is necessary to plan the next course of action needed to be taken.
Regards
Dr DE
Above answer was peer-reviewed by :
Dr. Vaishalee Punj


How effective is irinitecan ?
Brief Answer:
FOLFIRI is more effective than irinotecan
Detailed Answer:
Hi
Irinotecan is effective and in 40% patient they prevent the disease from spreading.
FOLFIRI is more effective than irinotecan and they control the disease from spreading by 50% but has greater side effects.
Regards
DR DE
FOLFIRI is more effective than irinotecan
Detailed Answer:
Hi
Irinotecan is effective and in 40% patient they prevent the disease from spreading.
FOLFIRI is more effective than irinotecan and they control the disease from spreading by 50% but has greater side effects.
Regards
DR DE
Above answer was peer-reviewed by :
Dr. Vaishalee Punj


Ok. If chemo not worlkjng , can these be ablated instead?
Are a 16 mm liver met n 1 node very worrisome? And what if chemo does not work
Are a 16 mm liver met n 1 node very worrisome? And what if chemo does not work
Brief Answer:
Ablation can be tried
Detailed Answer:
Hi
16 mm liver metastasis and 1 node is not very worrisom.
If chemo is not working ablation can be tried.
But a fresh scan is needed to asess the size of the lesions.
Regards
DR DE
Ablation can be tried
Detailed Answer:
Hi
16 mm liver metastasis and 1 node is not very worrisom.
If chemo is not working ablation can be tried.
But a fresh scan is needed to asess the size of the lesions.
Regards
DR DE
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj

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