Oct 05, 2012 - 1:32 pm
I'm curious if any of you have had similar results and/or what you all think about these results???
Yesterday I went for treatment 8 of 12 of FulFox. I also saw the doctor as a follow-up for PET and CT Scans done on 10/1. The scans show a small nodule (3mm) in the lower lobe of the right lung. The doctor thinks it might be related to inflamation; however he couldn't rul out it being a MET of the colorectal cancer. He doesn't think its cancer because it was not well circumsized and the PET scan didn't show uptake. A tumor that I had that was surgically removed on 6/1/2012 was also in the lower lobe of the right lung. That nodule was 12mm when it was first detected and 18mm when it was removed.
I will receive another CT scan in six weeks. If that CT scan shows growth in the nodule the doctor will recommend another lung resection surgery to remove and biopsy the nodule. He said if the nodule is from inflamation it will likely not be present in another six weeks. If the nodule turns out to be cancer I will stop the FolFox chemo treatments (e.g. they are not working) and a new treatment plan (likely Irinotecan) will be developed.
We also discussed CEA levels in the followup with the doctor. I went from 19.7 CEA to 3.7 CEA post surgeries (colon and lung resection). Since then my CEA level has climbed to 8.9 and seems to have stabelized at this level. The doctor also said that a Lung MET of this size would likely not cause CEA level jumps like this. So he is still leaning towards the CEA level increase being related to the chemo; not a sign of tumor activity.
The other organs (colon, liver, etc) did not show any tumor activity.
Yesterday's treatment included a reduced amount of oxaliplatin. I didn't have the cold sensitivity or the jaw pain so far... I suppose that is a good thing? But I was surprised by this, especially given the cumulative effect given that this is now treatment 8.
What do you all have to say? Is the nodule an inflamation or a tumor? Is it possible that the CEA Level increase is an indication of tumor activity? Or have any of you encountered the CEA level increase from the folfox chemo?