2 doctors weighed in:

Metastic colon cancer . Ct scan showed disease stable after 3 chemo rounds . Largest liver met 8 cm. bilirubin was 12,19,12,33,51,now 74. What can this be ?

2 doctors weighed in
Dr. John Scuba
Surgery - Oral & Maxillofacial

In brief: Hyperbili

If jaundiced, intrahepatic (liver caused) levels of bilirubin are likely here.
One cause is hepatitis, possibly from chemo, or from the met. In some cases, high bilirubin in adults may be caused by blockages in the bile ducts, depending on where the met is. Symptoms include digestive distress and pain in the abdomen, hard to distinguish from chemo caused side effects. Talk to your cancer doctor.

In brief: Hyperbili

If jaundiced, intrahepatic (liver caused) levels of bilirubin are likely here.
One cause is hepatitis, possibly from chemo, or from the met. In some cases, high bilirubin in adults may be caused by blockages in the bile ducts, depending on where the met is. Symptoms include digestive distress and pain in the abdomen, hard to distinguish from chemo caused side effects. Talk to your cancer doctor.
Dr. John Scuba
Dr. John Scuba
Thank
Dr. Julie Abbott
Preventive Medicine

In brief: It is not unusual..

...for biochemical markers, such as bilirubin measured in the blood, to not seem consistent with what appears anatomically.
.images on a CT scan. In all likelihood it means that the metastatic colon cancer is functionally advancing, destroying liver cells. However, there would be a small chance that the bilirubin is elevated for some other cause.Your doctor will help you sort this out. All the best

In brief: It is not unusual..

...for biochemical markers, such as bilirubin measured in the blood, to not seem consistent with what appears anatomically.
.images on a CT scan. In all likelihood it means that the metastatic colon cancer is functionally advancing, destroying liver cells. However, there would be a small chance that the bilirubin is elevated for some other cause.Your doctor will help you sort this out. All the best
Dr. Julie Abbott
Dr. Julie Abbott
Thank
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