May 01, 2013 - 1:24 pm
My mom's CEA has been rising since she ended the treatment in Dec'11.
Dec'11 - 2.55
Mar'12 - 2.67
Jun'12 - 3.05
Sept'12 - 3.32
Dec'12 - 3.65
(Also before surgery - 23.9, after surgery - 4.55, after chemo/rad in dec'11 - 2.55)
We did a PET CT in dec'12 which showed "Metabollically active focus along right internal iliac vessels with small nodular soft tissue with SUV-6.5"
and we repeated the scan in Mar'13 which said "Stable metabolically active focus is seen along right internal iliac vessels with small nodular soft tissue with SUV - 5.2"
it has not increased in size but was present stable.
The doc said these are the options now:
1. Check with surgeon to see if we can remove it completely and start treatment if its +ve, making it stage 4.
2. Check if needle biopsy can be done but its close to blood vessels
3. Assuming its the metastasis, directly start with the chemo treatment, FOLFIRI (assumption bcz scan has a spot though not measurable and cea steadily rises and NOT confirmation since the spot in scan did not grow)
4. Else wait and watch for some more time and repeat scan.
Planning to get a second opinion on this but not sure what to do at this state.
If we go with option 4, is it very risky?
Has anybody here started treatment assuming its disease, if not 100% sure?
We havent done a colonoscopy yet after the treatments, would it/any other test, help to find cause for CEA rise?
Any inputs here would be really helpful..
Son of mom,
May'11 - surgery to remove the tumour in rectum
Found stage 3c. ( 10/26 nodes +ve)
June - Dec' 11 folfox chemo + radiation
Dec'11 - pet ct - clear