CEA and silly request but..........

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dianetavegia
Posts: 2731
Joined: Sat May 16, 2009 8:47 pm
Facebook Username: Diane Weldy Tavegia
Location: Villa Rica, Georgia

CEA and silly request but..........

Postby dianetavegia » Fri Nov 03, 2017 12:14 pm

My CEA was 4.3 on Oct. 10th. Labcorp USA's high norm is 3.9 for a non smoker. It's been 4.3 and 4.4 three times prior when I was sick with a sinus infection or walking pneumonia. I was feeling bad when I went that day and almost cancelled. Two days later was on 2 weeks of antibiotics and a steroid shot for a bad sinus infection affecting all four cavities.

The slight elevation always terrifies me so the doctor had me come in today for a repeat CEA now that all the meds are finished. I won't get my results until late next week. My stomach is all torn up from anxiety!

I KNOW I should not expect anything 'bad' because it's been 9 years the end of Dec. since I was dx'd with Stage III (surgery first week of Jan. 2009) and it's been 5 years, 7 months since my liver resection and all scans have been good since then. This was my first time not to have scans. We moved to scans once a year unless my CEA were to suggest otherwise and then will go to only CEA's.

My husband was septic in June and September. He was in the hospital for over a week both times. One was from black mold exposure when he went to Oregon to visit a long lost relative. The second time was from a UTI! We were told only 30% of people who come to the ER that sick live. A follow up with the pulmonologist in the end of June included a CT of the lungs. No one contacted us, but when he went in for a recheck, they gave him a paper copy of the CT which showed he has a 4.1 cm aneurysm on the ascending aorta. We saw his cardiologist (for HBP only, no heart problems) and he says we will do scans in 2 weeks and then every 3 to 6 months to see if it is enlarging. It wasn't there 2 years ago when he had an echo. Jim is 70 and still teaches middle school math so we can have good insurance.

I'm just a wreck. I don't think chronic disease post traumatic stress ever gets better.

Diane
Stage III cc surgery 1/7/09. 12 tx FOLFOX
Stage IV PET = 1.5cm liver met. HR 4/11/12

14 years since dx and 11 years post liver resection.
Pronounced CURED and discharged by onc

“O Lord my God, I cried out to You, And You healed me.” Psalms 30:2

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susie0915
Posts: 945
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Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: CEA and silly request but..........

Postby susie0915 » Fri Nov 03, 2017 12:52 pm

My lab has 0-5 as normal. Good luck, I'm sure your test will come back fine. But I understand. I always worry when I get my blood drawn and my CEA has never been highter than 1.1 and that was during chemo. Usually is less than .5. In August it was 1 and I emailed my oncologist because it rose .5. I know it sounds crazy but we always need some encouragement that it is not alarming. I hope you can relax until you get your results. Keep us updated.
58 yrs old Dx @ 55
5/15 DX T3N0MO
6/15 5 wks chemo/rad
7/15 sigmoidoscopy/only scar tissue left
8/15 PET scan NED
9/15 LAR
0/24 nodes
10/15 blockage. surgery,early ileo rev, c-diff inf :(
12/15 6 rds of xelox
5/16 CT lung scarring/inflammation
9/16 clear colonoscopy
4/17 C 4mm lung nod
10/17 pel/abd CT NED
11/17 CEA<.5
1/18 CT/Lung no change in 4mm nodule
5/18 CEA<.5, CT pel/abd/lung NED
11/18 CEA .6
5/19 CT NED, CEA <.5
10/19 Clear colonscopy
11/19 CEA <.5

Detox
Posts: 61
Joined: Fri Apr 28, 2017 5:27 pm

Re: CEA and silly request but..........

Postby Detox » Fri Nov 03, 2017 1:17 pm

CEA tests are scary obviously but I'm 99.999999% sure you'll be fine.

I've never seen or read about a recurrence 5+ years after NED (or maybe 1 in about 20-30 million has had a recurrence) and I've skimmed through all 700+ pages of topics on this message board. LOL

Also pretty much all doctors label their patients cured after 5 years of NED.

Try not to think about it (tough to do) but you'll get your test results and they'll be back down again.

NHMike
Posts: 2555
Joined: Fri Jul 21, 2017 3:43 am

Re: CEA and silly request but..........

Postby NHMike » Fri Nov 03, 2017 3:19 pm

I had a 100 cm^2 tumor and my CEA was 3.7 so it can be wrong in both directions. I try not to worry about stuff that I can't do anything about but I know that it's very hard with cancer. I think that the turnaround time at my local hospital for these tests, though, is a few hours to a day. I usually get some of the test results back on the hospital portal a few hours later and the rest the next day - they obviously run some of them at the hospital.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

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dianetavegia
Posts: 2731
Joined: Sat May 16, 2009 8:47 pm
Facebook Username: Diane Weldy Tavegia
Location: Villa Rica, Georgia

Re: CEA and silly request but..........

Postby dianetavegia » Sat Nov 04, 2017 8:24 am

Labcorp picks up the test end of the day and sends the results to the doctor. They give him two business days to see my results before they'll post them online. I've had the same onc for 9 years and it always took 2 weeks for me to get any results. He said it's his fault because he has to release them before the RN will share them.

We've had several with new mets after 5 years, but they've all been rectal cancer patients. Studies show that at 6 years 7 months after resection, my chances of a recurrence is the same as the general public. That's a year from now, and my onc thinks I'm cured (likely cured he said when I challenged him 7 months ago on 'cured'). I still can't help worry.

It'll be a long 6 days for me. I think the health issues with my husband triggered my anxiety. I'd actually began to forget about cancer for a week at a time.

Diane
Stage III cc surgery 1/7/09. 12 tx FOLFOX
Stage IV PET = 1.5cm liver met. HR 4/11/12

14 years since dx and 11 years post liver resection.
Pronounced CURED and discharged by onc

“O Lord my God, I cried out to You, And You healed me.” Psalms 30:2

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mypinkheaven
Posts: 459
Joined: Fri May 20, 2016 4:29 pm
Facebook Username: Sally Cunningham
Contact:

Re: CEA and silly request but..........

Postby mypinkheaven » Sat Nov 04, 2017 11:30 am

I'm sorry you have to wait and worry. It's very possible that you have some inflammation going on that you haven't even noticed. Try to keep busy and have a good weekend 8)
MSS, KRAS Wild NRAS Mutated
9/2012 CRC IIB Lft Colectomy 0 lymph nodes 0 Chemo
10/2013 CT clear
11/15 CEA 2.7 to 4.6
11/15 Spread to uterus. Hysterectomy
2/16 Pelvic radiation 25, brachytherapy 3
4/16 - 6/16 Xeloda
6/16 CT Several lung nodules 5 mm
8/16 CT Nodules still present. Most stable. Some growth
11/16 Transfer to UCSD Moores
12/16 Folfox + Avastin failed
2/17 Folfiri + Erbitux
8/17 5FU+Erbitux No 5FU bolus
7/18 Spread to vagina
6/18 Folfiri + Avastin + Trametinib
6/18 CEA dropping

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dianetavegia
Posts: 2731
Joined: Sat May 16, 2009 8:47 pm
Facebook Username: Diane Weldy Tavegia
Location: Villa Rica, Georgia

Re: CEA and silly request but..........

Postby dianetavegia » Sat Nov 04, 2017 2:07 pm

Mypinkheaven, I was already feeling ill when I went for my visit and bloodwork. I went to my primary about 36 hours later who said all four sinuses were 'full' and infected and my nasal passages were swollen and red. She gave me a steroid shot and two weeks of antibiotics.

Common sense tells me not to worry. 60% of small elevations are false positives. I know this. 85% of people who've never had CRC have a CEA of 2.5 and 95% have a CEA of up to 5.0. I know all this but at 2 1/2 years post resection my CEA went to 4.4, six months later it was 6.5. No one told me. Six months after that it was 8.5 and no one told me but my scan showed a tiny liver met. It's only been about 1 1/2 years that my onc allowed us to view our test results online and it bothers me the many times I was told it was 'fine' and it was 4 or slightly higher. When it was 8.5, the top of the report said 'stable'!!!!!

I have to remind myself that it's been just under 9 years since my original dx but that 'number' always makes me ill until I hear it's in my normal range which is 2.7 to 3.4 except on very rare occasions when it was 2.1 or 4.3 (ill).

I've been with him for 9 years and my husband says you'd think he'd remember me.
Stage III cc surgery 1/7/09. 12 tx FOLFOX
Stage IV PET = 1.5cm liver met. HR 4/11/12

14 years since dx and 11 years post liver resection.
Pronounced CURED and discharged by onc

“O Lord my God, I cried out to You, And You healed me.” Psalms 30:2

Thetoad
Posts: 165
Joined: Mon Nov 23, 2015 2:46 am
Location: New Zealand

Re: CEA and silly request but..........

Postby Thetoad » Sat Nov 04, 2017 2:24 pm

Detox wrote:CEA tests are scary obviously but I'm 99.999999% sure you'll be fine.

I've never seen or read about a recurrence 5+ years after NED (or maybe 1 in about 20-30 million has had a recurrence) and I've skimmed through all 700+ pages of topics on this message board. LOL

Also pretty much all doctors label their patients cured after 5 years of NED.

Try not to think about it (tough to do) but you'll get your test results and they'll be back down again.

Any statistics for 4 years NED? I'm coming up to a routine colonoscopy and am getting more and more anxious! No worries about any scans or blood tests so far. Also, the CEA level mentioned in the post you answered is ok on the range I was given.
Emergency extended rt hemi November 2013.
Complete blockage, small perforation.
Stage 2a.
T3N0M0
22 Lymph nodes clear.
No bag.

Yearly appts appts and 6 monthly CEA tests.
Incisional hernia repair, mesh Nov. 2014.
Cellulitus
CEA 1.4 on 28/7/17
27/5/17. Gallbladder removed, open.
Good consultation Feb. 2017
CEA 1.7 on 16/11/17 colonoscopy ok Jan. 2018 :)
Nurse pleased, March 2018. CEA 1.8. One more CEA test and hopefully last appt in November, 2018.
Prostate cancer, Gleason 7 (3+4) Sept. '18.

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NZJay
Posts: 640
Joined: Mon Dec 16, 2013 3:00 pm
Location: NZ

Re: CEA and silly request but..........

Postby NZJay » Sat Nov 04, 2017 3:30 pm

Thetoad wrote:
Detox wrote:CEA tests are scary obviously but I'm 99.999999% sure you'll be fine.

I've never seen or read about a recurrence 5+ years after NED (or maybe 1 in about 20-30 million has had a recurrence) and I've skimmed through all 700+ pages of topics on this message board. LOL

Also pretty much all doctors label their patients cured after 5 years of NED.

Try not to think about it (tough to do) but you'll get your test results and they'll be back down again.

Any statistics for 4 years NED? I'm coming up to a routine colonoscopy and am getting more and more anxious! No worries about any scans or blood tests so far. Also, the CEA level mentioned in the post you answered is ok on the range I was given.


Toad - To be honest - if I were you I'd demand a scan for your own peace of mind.

Diane - I'm an example of someone with high CEA and NED
11-13 Dx CC
SPS T4b(touched stomach organ),N1(3/23),M0(Stage 3B)
11-13: resect + partial gastrect
2-14: 1 Tx Cape + Oxy; renal failure, colitis
4-14: 7 Tx Capecitabine
1-15: clear CT
7-15: clear scope
1-16: clear CT
3-17: clear CT
10-17: clear scope (5 year gap now!)
CEA@dx: 8.4 / 6-15: 4.0 / 10-15: 4.2 / 2-16: 4.9 / 7-16: 4.9 / 11-16: 5.0 / 6-17: 4.5
NED since resection

Thetoad
Posts: 165
Joined: Mon Nov 23, 2015 2:46 am
Location: New Zealand

Re: CEA and silly request but..........

Postby Thetoad » Sat Nov 04, 2017 4:54 pm

NZJay wrote:
Thetoad wrote:
Detox wrote:CEA tests are scary obviously but I'm 99.999999% sure you'll be fine.

I've never seen or read about a recurrence 5+ years after NED (or maybe 1 in about 20-30 million has had a recurrence) and I've skimmed through all 700+ pages of topics on this message board. LOL

Also pretty much all doctors label their patients cured after 5 years of NED.

Try not to think about it (tough to do) but you'll get your test results and they'll be back down again.

Any statistics for 4 years NED? I'm coming up to a routine colonoscopy and am getting more and more anxious! No worries about any scans or blood tests so far. Also, the CEA level mentioned in the post you answered is ok on the range I was given.


Toad - To be honest - if I were you I'd demand a scan for your own peace of mind.

Diane - I'm an example of someone with high CEA and NED

Thanks NZJay. I'm not due to see my Dr until January for my 3 monthly Care Plus check. You mean a CT scan? As you know, my colonoscopy is probably January too but was due last month. I might write to my specialist nurse, but I doubt she will agree. It's all in my mind! I hope...
Emergency extended rt hemi November 2013.
Complete blockage, small perforation.
Stage 2a.
T3N0M0
22 Lymph nodes clear.
No bag.

Yearly appts appts and 6 monthly CEA tests.
Incisional hernia repair, mesh Nov. 2014.
Cellulitus
CEA 1.4 on 28/7/17
27/5/17. Gallbladder removed, open.
Good consultation Feb. 2017
CEA 1.7 on 16/11/17 colonoscopy ok Jan. 2018 :)
Nurse pleased, March 2018. CEA 1.8. One more CEA test and hopefully last appt in November, 2018.
Prostate cancer, Gleason 7 (3+4) Sept. '18.


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