A member asked:

Metastic colon cancer with liver mets . bilirubin was 12, then went to 95 and now 85. is it starting to drop again ?

6 doctors weighed in across 3 answers

Very high : The difference between a bilirubin of 95 and 85 is not clinically meaningful. Be sure to follow up with your oncologist however, as the situation is complex. Hope this helps!

Answered 6/13/2015

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Dr. Kris Gast answered

Bilirubin levels: Well it seems to be trending down. Lab results in general can be variable....sometimes a little higher sometimes a little lower. A difference of 10 points would definitely be considered a real drop. Hang in there!

Answered 6/25/2015

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No: An elelvated bilirubin in metastatic colon cancer to liver is not good prognaostically A level of 95 dropping slightly to 85 would suggest that an obstructive process was causing the elevation. Whether chemo was employed would be questionable since a high bilirubin wound exclude use of chemo. Scans should reveal obstruction in main bile duct and allow a stent to control bile level.

Answered 7/12/2015

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