Suggest treatment for elevated CEA levels in a person with colon cancer
CT scan of whole abdomen
Normal level of CEA is less than 5 micrograms per liter (mcg/L)
Although USG scan is normal as your sisters CEA has now increased to 7.5 i would advise you to do a CT scan of whole abdomen
If the scan shows the colon cancer has progressed then second line chemotherapy has to be planned but if the disease is radiologically stable then wait and watch policy with bood test for CEA after 3 months is recommended
result in increase in CEA levels?
CT scan is enough or PET scan is required?
Awaiting your amswer please.
No role of radiotherapy
There is no role of radiotherapy in colon cancer
If the first line chemotherapy does not work and the disease progreses the CEA can rise
As your sister is physically active CT scan is enough
Is there any connection between problem in bowel movement and increase in CEA level? Mammography is normal. Is it enough to have CT scan for abdomen only or for whole body?Also USG scan showed mild splenomegaly without focal lesions. What is its effect?
Kindly provide your valuable answers and suggestions.
PET scan suggested
Chances of recurrence after 6 cycles of chemotherapy is 35%
Problem in bowel movement may be related to recurrence as your sisters CEA is on the rise
USG is not showing any metastasis but it is not an accurate method to judge spread of colon cancer
I woud advise you to do a PET scan as it can detect recurrence and metastasis more accurately than CT scan
If you have no more clarifications then please rate the answer and close the thread
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