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Doctor insights on: Cea W Hama Treatment

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Cea is rising 1 point per month while on irinotecan . Does this mean not responding to treatment ?

Cea is rising 1 point per month while on irinotecan . Does this mean not responding to treatment ?

CEA often fluctuates: We have to give 2 months of chemo before we can assess response. CEA is not enirely reliabnle unless you have done it 3-4 times in a row, one month aprt. Then it will show us a trend for tumor being better or worse. Yet we rely much more on Imaging studies(CT scan etc) along with patient symptoms and doctor's examination. All together(these 4 items) will help us conclude if tumor is getting small ...Read more

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Dr. Carlos Encarnacion
117 doctors shared insights

Cea (Definition)

Carcino embryonic antigen which can be elevated in ...Read more


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A CEA rise upon starting irinotecan in person with colon cancer suggest treatment not working ? Cea was Oct 8, dec 9, jan 10.

A CEA rise upon starting irinotecan in person with colon cancer suggest treatment not working ? Cea was
Oct 8, dec 9, jan 10.

Very good question!: The answer's somewhat debated. 1st, CEA levels even in the presence of cancer r somewhat variable, so my 1st question is *how much* did the values rise? An increase of 1 mcg/L may not b significant, though an increase of 100 mcg/L is definitely so. Also, levels increase if u r around cigarette smoke. Lastly, CEA could be released from cancer cells as they die. TTYD (Oncologist) to interpret numbrs ...Read more

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Colon cancer patient . Cea rising on irinotecan . It was started in oct when CEA was 8. Dec cea-9, jan CEA 10. Is this treatment failure ?

Not necessarily: Chemotherapy can cause the CEA to rise when started. In addition, that is not a significant rise to make me concerned. Also, one wants to see a trend. Meaning, 8, 10, 15, 20 before one thinks failure. In addition, don't treat a number, treat what can be seen on the CT scan. Hope this helps. ...Read more

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Cea analysis was increased to 1500 before treatment of secondary bone cancer but after radiation therapy and 3 chemotherapy sessions dropped to 1000?

Cea analysis was increased to 1500 before treatment of secondary bone cancer but after radiation therapy and 3 chemotherapy sessions dropped  to 1000?

CEA: The declining of the cancer marker here tells you that you respond quite well to the radiation and chemotherapy that you received. Btw, what is the primary cancer? ...Read more

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I have just been diagnosed w/shingles. Any advice for me during treatment?

I have just been diagnosed w/shingles. Any advice for me during treatment?

Shingles: Although there is not a “cure” for shingles- valacyclovir (valtrex), Acyclovir (zovirax) ; Famciclovir (famvir) can help symptoms. Cool bath or compresses over the rash may v pain/ itching. ...Read more

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Treatment of hypercholesterolemia in young adults? Can they get by w/o medications?

Treatment of hypercholesterolemia in young adults?  Can they get by w/o medications?

Yes, maybe: It depends on the type of cholesterol that is elevated and how high the elevation is. Usually diet and exercise have a significant effect on cholesterol without medication. ...Read more

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Anteriolateral disc w/o reduction on left and anteriomedial disc w/reduction on right for month. Tmj treatment course?

Anteriolateral disc w/o reduction on left and anteriomedial disc w/reduction on right for month. Tmj  treatment course?

See OFP specialist: Orofacial Pain specialist understands the causes, effects and treatments. Without proper diagnosis and care, there could be serious lifelong consequences. See OFP specialist ASAP. ...Read more

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Recently diagnosed w/glaucoma at 58 yrs. Old. The unknown & unpredictably of treatment of the disease is causing high anxiety. What can I do?

Recently diagnosed w/glaucoma at 58 yrs. Old. The unknown & unpredictably of treatment of the disease is causing high anxiety. What can I do?

Treatments are good: Treatment for glaucoma today by medications, laser or surgery is very good and routinely successful and i would not stress out about it. I myself take drops for high eye pressure. ...Read more

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