Just one more CEA question

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juliej
Posts: 3114
Joined: Thu Aug 05, 2010 12:59 pm

Re: Just one more CEA question

Postby juliej » Thu Apr 02, 2015 3:49 pm

kennytwisted wrote:One thing is for sure, this is not a favorable finding. Something bad is obviously brewing. :twisted:

And when it shows its ugly little face, you'll kick its butt to kingdom come! Lock and load! :evil:
Stage IVb, liver/lung mets 8/4/2010
Xelox+Avastin 8/18/10 to 10/21/2011
LAR, liver resec, HAI pump 11/2011
Adjuvant Irinotecan + FUDR
Double lung surgery + ileo reversal 2/2012
Adjuvant FUDR + Xeloda
VATS rt. lung 12/2012 - benign granuloma!
VATS left lung 11/2013
NED 11/22/13 to 12/18/2019, CEA<1

kpjpmom
Posts: 197
Joined: Sat Nov 26, 2011 10:27 pm

Re: Just one more CEA question

Postby kpjpmom » Thu Apr 02, 2015 9:02 pm

Kenny,
I usually have run a normal cea level even with active cancer. Below 1 or at 1.
This time I had a cea of 216 and then 237 two days later.
Big jump for me
It had spread to the tailbone in my spine.
Positive for bone metastasis.
No more saying that cea does not predict cancer for me
I am bummed
Hope this helps.
KPJPMOM
DX March 2011 stg 3 cc
Kidney cancer May 2011
Folfox 6months (12 rnds)
It's Back! October 2012 colon resection, kidney removed.FOLFIRI/Erbitux starts Jan.2013
Completed FOLFIRI June 2013, Erbitux continues
March 2015 Met to spine. Radiation 15 treatments
Folfri, 5fu dropped after 3x, Erbitux and Iri continued CEA rising. Moved to
Folfox, Xeloda,Avastin until Feb. 2016 oxilap. Neuropathy returns.
Xeloda,Avastin continues.

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Just one more CEA question

Postby KWT » Thu Apr 02, 2015 9:12 pm

Hey kp, sorry you had to find out Cea is now a marker for you. I guess I may be joining the club. What type of scan I uncovered the bone mets?

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MamaN
Posts: 666
Joined: Tue Dec 30, 2014 2:34 am

Re: Just one more CEA question

Postby MamaN » Thu Apr 02, 2015 9:28 pm

Kenny
This stinks ! Butt I think a bone scan picks up bone mets . I sure hope this is not the case .
Dx@45 stage t3 n1b m unknown IIIB
Resected in 8/2010 rectosigmoid
5.5 tumor with 3 /26 lymph nodes
Lymph vascular invasion
Folfox sept 2010 to feb 2011
10 tx only stopped due to low wbc

kpjpmom
Posts: 197
Joined: Sat Nov 26, 2011 10:27 pm

Re: Just one more CEA question

Postby kpjpmom » Fri Apr 03, 2015 4:02 am

Kenny,
CT scan and bone biopsy were what they used to confirm. Targeted the one area that was giving me fits. I kept pointing to lower spine, tailbone area...that is where the met was on the spine. Spine eroding and small cracks around the bone. The tumor is up in the spinal column and eating away. Causes much nerve pain and down the left leg. Feels like sciatica if you have ever had that. To hold the spine together they injected cement right after the bone biopsy to shore up the spine that had already been eaten. Radiation is to help shrink tumor off of root nerves that run in that area. Roots like legs and bowel and bladder funciton. I am paralyzed somewhat down there. I cannot feel when my bladder is full and well you know.......a river runs through it! LOL Gotta have some humor in these stinking situations. Also, having to stay on a bowel regimine now since I have to get that %^&* out of there. They are hopeful I will get these nerves back since they are peripheral nerves. Hope this helps and yes now cea is a marker for me after 4 years of not really being sure we were dealing with cancer.
DX March 2011 stg 3 cc
Kidney cancer May 2011
Folfox 6months (12 rnds)
It's Back! October 2012 colon resection, kidney removed.FOLFIRI/Erbitux starts Jan.2013
Completed FOLFIRI June 2013, Erbitux continues
March 2015 Met to spine. Radiation 15 treatments
Folfri, 5fu dropped after 3x, Erbitux and Iri continued CEA rising. Moved to
Folfox, Xeloda,Avastin until Feb. 2016 oxilap. Neuropathy returns.
Xeloda,Avastin continues.

peanut_8
Posts: 2340
Joined: Sun May 25, 2014 1:31 pm

Re: Just one more CEA question

Postby peanut_8 » Fri Apr 03, 2015 8:34 am

KT, just a remember, it would be really unusual for you to get bone mets.

https://ispub.com/IJO/8/2/14324

Abstract
Distant metastases from colon cancer spread most frequently to the liver and the lung. Risk factors include positive lymph nodes and high grade tumors.Colorectal cancer is the 3rd leading cause of cancer related death in the world. Death is usually associated with recurrence and metastasis. Skeletal metastasis in primary colorectal carcinoma is an uncommon event. When such an event occurs it is usually a late manifestation of the disease. Isolated skeletal metastasis from primary colonic carcinoma is a rare event with incidence of 1.1% of all metastases from colonic cancers 3. The most common presenting symptom of skull metastases is a visible, localized swelling of skull produced by growing tumor that erodes outer table. Metastasis to bone gives rise to osteolysis or mixed osteolysis – osteoblastic appearance on radiography.


So rare, that it happens in 1.1% of cases. And there are symptoms which you don't seem to have.
best regards, p nut
female, diagnosed Jan 14, RC stage 2a, age 56
MSS
April 14, 28 chemo/rad with Xeloda
June 14 adjuvant Xeloda 6 rounds
currently NED

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Just one more CEA question

Postby KWT » Fri Apr 03, 2015 10:11 am

Kp, sounds like a rough road, I hope you get the nerves back.

Thanks p, at this point I don't think anything would surprise me.

kpjpmom
Posts: 197
Joined: Sat Nov 26, 2011 10:27 pm

Re: Just one more CEA question

Postby kpjpmom » Fri Apr 03, 2015 10:52 am

Kenny
I do not have lung or liver involvement at this time. So I guess I am in that 1 percent that peanut speaks of. My cancer has been found always in the left side it just decided to go to the bone first lots of hard questions to ask the oncologist next week about QOL. Take care.
Kpjpmom
DX March 2011 stg 3 cc
Kidney cancer May 2011
Folfox 6months (12 rnds)
It's Back! October 2012 colon resection, kidney removed.FOLFIRI/Erbitux starts Jan.2013
Completed FOLFIRI June 2013, Erbitux continues
March 2015 Met to spine. Radiation 15 treatments
Folfri, 5fu dropped after 3x, Erbitux and Iri continued CEA rising. Moved to
Folfox, Xeloda,Avastin until Feb. 2016 oxilap. Neuropathy returns.
Xeloda,Avastin continues.

peanut_8
Posts: 2340
Joined: Sun May 25, 2014 1:31 pm

Re: Just one more CEA question

Postby peanut_8 » Fri Apr 03, 2015 12:36 pm

kpjpmom , I'm so sorry to hear about your bone mets. I've been following your story, and really hope the radiation treatments give you relief from your pain and other problems.
all the best, peanut
female, diagnosed Jan 14, RC stage 2a, age 56
MSS
April 14, 28 chemo/rad with Xeloda
June 14 adjuvant Xeloda 6 rounds
currently NED

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Just one more CEA question

Postby KWT » Fri Apr 03, 2015 1:30 pm

kpjpmom wrote:Kenny
I do not have lung or liver involvement at this time. So I guess I am in that 1 percent that peanut speaks of. My cancer has been found always in the left side it just decided to go to the bone first lots of hard questions to ask the oncologist next week about QOL. Take care.
Kpjpmom


I hear you, the stats don't mean much to those afflicted. I wonder what the stats say about getting this under 50? I hope your pain issue can be resolved.

momof3
Posts: 213
Joined: Thu Sep 13, 2012 8:52 pm

Re: Just one more CEA question

Postby momof3 » Fri Apr 03, 2015 2:54 pm

Apparently my husband is in that 1% too...maybe we should play the lottery. I always wonder though, how do they determine that 1%? Those are just the reported cases. What about all of the other people that just hear from their doctor, wow this is strange, this never happens. My husband doctor constantly says how unusual his case is. I said well shouldn't it be written up then.
Husband was 46 when diagnosed stage 4 aug 2012
folfox and avastin ... then surgery april 2013
mets only to paraaortic nodes
Mets to femurs and spine found Nov 2013

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Just one more CEA question

Postby KWT » Fri Apr 03, 2015 3:35 pm

Hell mo3, it's all strange to me, it would have been nice to get another twenty out of this body before it goes to the bone pile. :o

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Just one more CEA question

Postby KWT » Tue Apr 28, 2015 9:22 am

So I had a pet scan and it showed nothing we didn't already know, So I guess that's good. Cea results tomorrow. My Cea started going up in January so that's about four months and the largest met increase was 2mm but he's saying that my disease is progressing and need to change chemo.

iitg.ritesh
Posts: 174
Joined: Mon Aug 25, 2014 7:11 am
Location: WA

Re: Just one more CEA question

Postby iitg.ritesh » Tue Apr 28, 2015 9:29 am

Very happy for you kenny, was waiting for your pet result with fingures crossed. I think your CEA increase is from poison oak :)
32yo Dx@rectal cancer 05/10/13, CEA 3.4
chemoradiation, xeloda finished on 02/12/13
LAR surgery 22/01/14, pT3N0, 0/3 nodes, folfox 02/14--06/14 , 8 cycles folfox, 4 cycles of xeloda
Stricture due to radiation, diversion colitis
Reversal 14/10/14
NED

lpas
Posts: 1010
Joined: Wed Nov 19, 2014 11:11 pm

Re: Just one more CEA question

Postby lpas » Tue Apr 28, 2015 10:02 am

That sounds like good news, Kenny. So glad you finally got the doctor to order a scan. Hopefully your CEA will cooperate and come back down now that the poison oak is gone...
11/14 Dx sigmoid CC @ 45yo
12/14 Colectomy + hysterectomy
Stage IIIB, T3N1bM0, 2/20 nodes, MSS, G2, KRAS(A146T), TP53, SMAD4, ERBB2, CEA 1.0
2/15-7/15 XELOX & celecoxib
2/19 clean scope
11/19 clean CT
Ongoing cimetidine & other targeted supplements
Mom to a 6 & 8yo


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