Rising CEA - What would you do?

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Rock_Robster
Posts: 1028
Joined: Thu Oct 25, 2018 5:27 am
Location: Brisbane, Australia

Re: Rising CEA - What would you do?

Postby Rock_Robster » Wed Apr 12, 2023 1:31 am

montezuma wrote:Is there an update on how your treatment went? How is it possible you can do SBRT when you already had 28 days of chemorad? I thought we normally receive the maximum allowed radiation at where the anastomosis is located. I’m in a similar situation, but surgery has been the only option on the table.

For info, I’ve done two full cycles of SBRT (5 fractions each, liver and lymph nodes) after previously having had 25 days of pelvic radiation. The total absorbed dose by healthy tissue is SBRT is generally very low.
41M Australia
2018 Dx RC
G2 EMVI LVI, 4 liver mets
pT3N1aM1a Stage IVa MSS NRAS G13R
CEA 14>2>32>16>19>30>140>70
11/18 FOLFOX
3/19 Liver resection
5/19 Pelvic IMRT
7/19 ULAR
8/19 Liver met
8/19 FOLFOX, FOLFOXIRI, FOLFIRI
12/19 Liver resection
NED 2 years
11/21 Liver met, PALN, lung nodules
3/22 PVE, lymphadenectomy, liver SBRT
10/22 PALN SBRT
11/22 Liver mets, peri nodule. Xeloda+Bev
4/23 XELIRI+Bev
9/23 ATRIUM trial
12/23 Modified FOLFIRI+Bev
3/24 VAXINIA (CF33 + hNIS) trial


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