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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Chemotherapy For Bowel Cancer Which Is Spread To The Lungs And Liver.High PSA Count. Chemotherapy Stopped. Why?

My father has been having chemotherapy for bowel cancer which has spread to lungs and liver. He has had no side effects from the chemo except tiredness. Today however after 10 doses of what was intended to be a 24 week course he has been told they are stopping his chemotherapy because of of his increasing psa count. Why would they do this if there are no apparent negative side effects

He Is due a ct scan in a weeks time, and a revisit to his consultant in three weeks
Mon, 6 May 2013
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Oncologist, Surgical 's  Response
Dear Sir,

Sorry to hear about your father's problem. Are you sure it says PSA count because PSA is not raised in bowel cancer and is a marker of prostatic cancer. CEA is a marker of bowel cancer and if it is raised, it suggests that the cancer is spreading.
It is advisable that you consult your oncologist immediately and find out the reason why chemo is being stopped. Try if the CT was be preponed, so it gives us an indicator whether the cancer has spread or not.

Hoping for the best.
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General Surgeon Dr. Dr. Ivan Romich's  Response
Hi and welcome to HCM. Thank you for your query.
I ve never heard that PSA level can be cause for chemotherapy canceling. It can be stopped due to ad general condition or when it is not expected to prolong life. I am sure you misunderstood something. more likely is that doctors evaluated that chemo has no purpose because of terminal cancer stage or there is no good effect of chemo on cancer. Wish you good health.
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Having Chemotherapy For Bowel Cancer Which Is Spread To The Lungs And Liver.High PSA Count. Chemotherapy Stopped. Why?

Dear Sir, Sorry to hear about your father s problem. Are you sure it says PSA count because PSA is not raised in bowel cancer and is a marker of prostatic cancer. CEA is a marker of bowel cancer and if it is raised, it suggests that the cancer is spreading. It is advisable that you consult your oncologist immediately and find out the reason why chemo is being stopped. Try if the CT was be preponed, so it gives us an indicator whether the cancer has spread or not. Hoping for the best.