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What Can Rise In CEA Level Indicate After Surgery For Colorectal Cancer?

Posted on Thu, 28 Aug 2014

Question: What can a steady cea rise indicate in a person who had surgery for colorectal cancer?

Answered by Dr. Rakesh Madhyastha (2 hours later)

Brief Answer:
CEA

Detailed Answer:
Hello

Thanks for the query

CEA is a tumour marker for colorectal cancer. It used to monitor treatment and recurrences. A steady rise in colorectal cancer could indicate a recurrence of the cancer. I advice him to undergo CECT of the abdomen and colonoscopy.

I hope I was of help, if you have any further queries please get back to me.

Regards

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

Follow up: Dr. Rakesh Madhyastha (5 hours later)

Could this mean mestases too a steady rise!

Answered by Dr. Rakesh Madhyastha (5 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

Thanks for getting back

CEA is only to know the status of the colorectal cancer. There are no clear guidelines for CEA to know metastases. In other words, CEA will not tell us anything about metastases

I hope I was of help, if you have any further queries please get back

Regards

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

Follow up: Dr. Rakesh Madhyastha (6 hours later)

But is such a rise from 3 to 6 in three months worrisome?

Answered by Dr. Rakesh Madhyastha (6 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

A study done by XXXXXXX et al on A small rise in CEA in colorectal cancer showed that even >1 rise in CEA indicated recurrence in more than 74% of the total 139 patients of colorectal cancer studies.
I strongly recommend that you undergo work up for recurrence of the cancer.

I wish you good health

Regards

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