HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Elevated CEA Levels In A Person With Colon Cancer?

Posted on Wed, 22 Apr 2015

Question: Is a cea of 64 very high in a metastic colon cancer
Pt with liver mets?

Answered by Dr. Indu Kumar (31 minutes later)

Brief Answer:
Yes,CEA level(64) is very high in a patient with metastatic colon cancer.

Detailed Answer:
Hello

Yes,CEA level (64) is very high in a patient with metastatic colon cancer.
CEA value is used as a prognostic indicator and it also plays a role in surveillance and treatment response.
CEA monitoring is also more sensitive in detecting disease recurrence.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (7 minutes later)

Is chemo worth it? In a person with approx 8 liver mets ? All small except 1 and a metastic lymph node?

Which chemo can wk
Very well ?

Answered by Dr. Indu Kumar (8 hours later)

Brief Answer:
Treatment of metastatic colon cancer is chemotherapy and surgery.

Detailed Answer:
Hello

Treatment of metastatic colon cancer is chemotherapy and surgery(if lesions are few in number).
5-Fluorouracil (5-FU) is the first choice chemotherapy drug for colorectal cancer. It may be combined with camptosar and eloxatin.
Now a days,newer chemotherapy drugs like vectibix,erbitux,avastin and aflibercept are also used with above combination.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (15 minutes later)

What do u think here ? However radiologist did not mention any peritonium.

Is exophytic liver met in peritonium ?

Is oxyplatin and ralitetrexed a good chemo n likely to work?
What is the percentage of oxyplatin working for metastic colon cancer?

Answered by Dr. Indu Kumar (15 hours later)

Brief Answer:
Response depend upon many thing& it is difficult to comment upon percentage

Detailed Answer:
Hello

Metastasis to liver is not related to peritoneal mets.To comment upon peritoneal mets it is important to go through images or reports.

Combination of oxyplatin and ralitetrexed(an antimetabolite)is ideal for metastatic colon cancer and it is expected to give good results.
Response depend upon many things and it is difficult to comment upon exact precentage.This combination is widely used in stage 4 colon carcinoma.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (6 minutes later)

If
Workwd the chemo can he have a long progosis ?

Also what area is exophytic liver met ?

Answered by Dr. Indu Kumar (6 minutes later)

Brief Answer:
Exophytic liver mets are lesions that are protruding from liver surface.

Detailed Answer:
Hello

Chemotherapy generally gives good results so we can expect good prognosis.
Exophytic liver mets are lesions that are protruding from liver surface.It is not peritoneal.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar