Hi. I saw my oncologist for a quarterly follow up recently. He switched me from quarterly follow ups to semi-annual follow ups. These follow ups include recording vitals, physical exam and review of blood work including CEA. I had surgery in 9/14 and I finished folfox chemotherapy toward the end of 3/15. My CEA has been within the normal range since it was first recorded in 9/14.
So I am now at two years since I completed chemotherapy. I just wanted to know whether a switch to semi-annual oncologist follow ups is considered medical standard of care based on my factual circumstances. Part of me feels positive that my oncologist is confident enough in my condition to expand the timing of my follow up visits but another part of me is concerned that I may miss a sign of a problem (ie. elevated CEA) as soon as possible. So is the expanded time between testing of my CEA appropriate at this juncture? Thank you for your insight.
male-age 44 at diagnosis
8/14-CT scan,no mets
9/14-left colectomy,CEA 2.2 before surgery
3 cm tumor in dscnding colon
7/23 pos LNs
low grade MSI stable
1/15-CT & PET scan and sigmdoscopy- no mets
9/15- clnscopy- 3 polyps removed
10/15- CT scan, NED
10/16- CT scan, NED, CEA 1.6
10/17- clnscopy- 4 polyps removed, CT scan NED, CEA 1.8
10/14 1.9; 4/15 2.8; 5/15 2.4; 9/15 2.8; 12/15 3.1; 1/16 3.0; 4/16 2.5; 7/16 2.5; 10/16 1.6; 1/17 1.9