Feb 03, 2012 - 12:24 am
I am a Stage IV patient who had colon resection at end of 2009 (Stage IIA then) followed by recurrence 15 months later with liver metastasis and liver resection in summer 2011.
I am moving through six months of chemo treatment with Xelox and will be finished in a month. My CEA went down immediately after both resection surgeries and then creeped back up over time in each case (and despite the chemo this time), but they are still reasonably low. My liver enzymes have been elevated for quite some time, but also mildly.
At my monthly appointment yesterday my oncologist ordered the usual CEA test AND a new test called AFP, which is a tumor marker for liver cancer mainly, but also testicular and ovarian cancer. I was surprised to learn this because he did not discuss it with me at my appointment and I just got the results online that showed the test results.
The test results look normal, but ...has anyone else ever had this test along with colon cancer lab tests and CEA and if so, what makes oncologists think it needs to be measured in a colon cancer patient with metastasis from liver? Would people really be likely to have separate unrelated cancer in their livers or reproductive organs while undergoing chemo for colon cancer patients or is there another explanation?