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A 67-year-old female asked:

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

3 doctor answers6 doctors weighed in
Dr. David Earle
General Surgery 32 years experience
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!
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Dr. Kris Gast
Radiation Oncology 32 years experience
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!
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Myron Arlen
Surgical Oncology 65 years experience
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.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jul 12, 2015

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