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Your Starting CEA?
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Hi Oliver. Welcome aboard.olivers14 said:Stage 4
I was diagnosed in October 2011 with metatastatic colorectal cancer. My liver is completely covered with cancer lesions. My starting CEA was somewhere in the high 500's. I started 2 weeks later with a chemo regimen, containing Oxaliplatin, Avastin and Xeloda. After half a year my CEA was down to 5. At that time my oncologist stopped the Oxaliplatin (due to accumulation of side effects) and had me only on Avastin and Xeloda until October 2012. At that time my CEA had jumped from 13 to about 140. I was put back on the Oxaliplatin. In January of 2013 I became highly allergic to the Oxaliplatin.
I was now put on a regimen consisting of Irinotecan, Avastin and Xeloda. This was in February 2013. After 4 treatments I did not show any improvements. Just the opposite. My CEA had gone up to be over 500 again, liver metastases started to grow again. This meant that I did not respond to the current treatment regimen.
My oncologist decided to stop all chemo immediately and to put me on antibodies using Erbitux. I was told that Erbitux will only slow down cancer growth and eventually will help to remove the Irinotecan resistance. After now only 2 treatments with Erbitux my CEA dropped 300 points from the 500's to now 231. My oncologist said that this can happen but he has not seen it very often and that I am more an exception to the rule. I am scheduled for another CT Scan in mid June to see whether the success is not only in the numbers, but hopefully also can be seen by either shrinking or disappearing metastases.
Erbitux is working great for me. By the way I am KRAS wild.
Oliver
Hi Oliver. Welcome aboard. Sounds like you are having a great response to your current treatment. Hope it continues. Keep us posted! You should start a new thread and introduce yourself to the board. This might get passed by. Your situation sounds interesting. I'm sure others will want to "meet" you. Best of luck to you.
Chelsea -
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Labcorp saidpeterz54 said:Thank you
to all who responded.
I am trying to get an answer from LabCorp about the accuracy of their tests, and will also ask Quest Diagnostics who does most of my wife's CEAs. When I do I will post.Normal errors can range + or - up to 10%.
SamT on Colon Club tests his own CEA every 2 weeks from one vial of blood using the Siemen's method. He has a PHD in Chemistry and many published papers. Over 50 liver tumors for about 7 years. He said EVERY test varies by .5. Same blood. Same Vial. Same machine. Him doing the test.......
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unknown but.........
My first CEA was ordered by a gastro group I did not like. They never sent the results to my onc. However, I do know it was not very high because the gastro said that the reading was a 'good sign'.
Prior to my liver resection, my CEA was 6.4. That was the highest we had ever recorded with the next highest being 4.4. My lab uses 3.9 as high normal for a female/ non-smoker.
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CEAolivers14 said:Stage 4
I was diagnosed in October 2011 with metatastatic colorectal cancer. My liver is completely covered with cancer lesions. My starting CEA was somewhere in the high 500's. I started 2 weeks later with a chemo regimen, containing Oxaliplatin, Avastin and Xeloda. After half a year my CEA was down to 5. At that time my oncologist stopped the Oxaliplatin (due to accumulation of side effects) and had me only on Avastin and Xeloda until October 2012. At that time my CEA had jumped from 13 to about 140. I was put back on the Oxaliplatin. In January of 2013 I became highly allergic to the Oxaliplatin.
I was now put on a regimen consisting of Irinotecan, Avastin and Xeloda. This was in February 2013. After 4 treatments I did not show any improvements. Just the opposite. My CEA had gone up to be over 500 again, liver metastases started to grow again. This meant that I did not respond to the current treatment regimen.
My oncologist decided to stop all chemo immediately and to put me on antibodies using Erbitux. I was told that Erbitux will only slow down cancer growth and eventually will help to remove the Irinotecan resistance. After now only 2 treatments with Erbitux my CEA dropped 300 points from the 500's to now 231. My oncologist said that this can happen but he has not seen it very often and that I am more an exception to the rule. I am scheduled for another CT Scan in mid June to see whether the success is not only in the numbers, but hopefully also can be seen by either shrinking or disappearing metastases.
Erbitux is working great for me. By the way I am KRAS wild.
Oliver
I was DX stage IV a long time ago but my CEA has never risen above 8.4. I've also been Erbitux and Irinotecan for a very long time and have had very good success with it. It's a regimen my oncologist uses often and has had very good results with it.
Glad things are moving in the right direction...
-phil
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