ORIGINAL CA-125 WAS 5200 - Dropped by 200 after first round of chemo

tracybdppc
tracybdppc Member Posts: 9
edited March 2014 in Ovarian Cancer #1
My Mom was recently diagnosed with Ovarian Cancer for the 2nd time in 29 years. Her CA-125 started at 5200. After her first round of weekly chemo, her CA-125 dropped by 200 to 5000. We've been told by the Dr. that is a significant drop (and we are so thankful for every point dropped). From all of your experiences, does that sound right? Can we expect her CA-125 counts to drop in larger increments over the next few rounds of chemo?

Thank you all for your answers and encouragement. It truly helps.

Comments

  • Hissy_Fitz
    Hissy_Fitz Member Posts: 1,834
    Of the posts I have read, my
    Of the posts I have read, my CA125 was one of the highest. It was 4000 pre-surgery. After surgery, but before chemo started, it had dropped to 2200. I had lots of complications and began my chemo with an open (re-opened) incision. My CA125 actually went UP after my first round - to 2400. After the second round, it fell to 245; after the third, it was 54, and after the 4th treatment it was 37. My last CA125 was 19 and I still have one treatment to go.

    My doctor says they look for a trend - several consecutive test results that either go up, or down. Any drop is good news. There are, however, lots of things that can send the number up, as well. Any infection, for example - even a bad cold.

    Do you know the stage of your mom's cancer? What chemo drug(s) is she getting? I had Carboplatin and Taxol, every three weeks.
  • Tina Brown
    Tina Brown Member Posts: 1,036 Member
    Hi Tracy
    My CA 125 dropped by around 200 to 887 after my 1st round of chemo. My oncologist too said that was a good result as they were expecting that figure. However after my second it dropped to 291 and I was stunned - so much so my doctor gave me the print out to prove it. So hopefully your mum will respond in a similar manner.

    I am just off to the hospital now to get the results from my 3rd treatment and a CT scan so I am keepiong my fingers crossed I get some encouraging news.

    All the best Tina x x xx
  • nancy591
    nancy591 Member Posts: 1,027 Member
    dropping ca125
    My presurgery ca125 was 720. My post surgery ca125 was 70. I don't remember each drop but my ending ca125 was at 7. I think my doctors like to see the final number under 10. I do remember the excitement of watching that number fall! Good luck to you and your Mom.
  • tracybdppc
    tracybdppc Member Posts: 9

    Hi Tracy
    My CA 125 dropped by around 200 to 887 after my 1st round of chemo. My oncologist too said that was a good result as they were expecting that figure. However after my second it dropped to 291 and I was stunned - so much so my doctor gave me the print out to prove it. So hopefully your mum will respond in a similar manner.

    I am just off to the hospital now to get the results from my 3rd treatment and a CT scan so I am keepiong my fingers crossed I get some encouraging news.

    All the best Tina x x xx

    CA-125
    I hope that you got a great report today! Thanks for your encouraging words.
  • tracybdppc
    tracybdppc Member Posts: 9
    nancy591 said:

    dropping ca125
    My presurgery ca125 was 720. My post surgery ca125 was 70. I don't remember each drop but my ending ca125 was at 7. I think my doctors like to see the final number under 10. I do remember the excitement of watching that number fall! Good luck to you and your Mom.

    CA-125
    I'm so happy that you have had good results. Thanks for information and encouragement.
  • tracybdppc
    tracybdppc Member Posts: 9

    Of the posts I have read, my
    Of the posts I have read, my CA125 was one of the highest. It was 4000 pre-surgery. After surgery, but before chemo started, it had dropped to 2200. I had lots of complications and began my chemo with an open (re-opened) incision. My CA125 actually went UP after my first round - to 2400. After the second round, it fell to 245; after the third, it was 54, and after the 4th treatment it was 37. My last CA125 was 19 and I still have one treatment to go.

    My doctor says they look for a trend - several consecutive test results that either go up, or down. Any drop is good news. There are, however, lots of things that can send the number up, as well. Any infection, for example - even a bad cold.

    Do you know the stage of your mom's cancer? What chemo drug(s) is she getting? I had Carboplatin and Taxol, every three weeks.

    CA-125
    Mom's cancer is stage 4. She has chemo every Tuesday. The first treatment in the cycle last for 6 hours and the other two treatments in each cycle is for 3 hours. The chemo drugs that she is on is Carboplatin and Taxol. Mom had ovarian cancer 29 years ago. She was on chemo then for 6 months. She has not had any kind of recurrence until this past December. They first told her she had colon cancer and was scheduled for surgery; however, she faxed the report to her oncologist from before and he wanted to see her and run some more test. They ran a PET scan and found cancer cells in her abdomen and colon. The tumor in her colon is very large. Her surgery was canceled and she immediately began taking chemo.

    Thank you for the information you provided. I mainly wondered if the increment drops would increase over the treatments and from what I'm reading, it does appear that is what typically happens (as long as you don't have a reaction to the chemo drugs).

    Thanks again!
  • Tina Brown
    Tina Brown Member Posts: 1,036 Member

    CA-125
    I hope that you got a great report today! Thanks for your encouraging words.

    Hi Tracy
    The doctor said the CA125 was not in yet but was able to say the my scan shows signs that the cancer cells within my abdomen (peritoneum) have reduced the thickening. Which means the chemo is doing its job!! I still have some fluid in my right lung and lower pelvic area & he is confident that the remaining chemo will address that and eventually the fluid will drain away.

    When I was at the hospital, it all made me realise that this thing is real cos when you are at home doing your normal stuff, you kinda switch off and forget for a little while. Going back in to see the cancer doctor is scary as it makes it real again. So I am down today eventhough I had a good outcome. Try & figure that one cos I'm sure I can't.

    Having a life threatening illness doesn't half mess with your head & gives you strange things to think about.

    Keep your chin (and I will take my own advice)

    Much love Tina
  • leesag
    leesag Member Posts: 621 Member
    CA125
    My CA125 at diagnosis was.....9824...nope not a typo, I think the 10 liters of fluid removed during surgery may have had something to do with the extreme elevation. I'm not asking about it again until after my first chemo treatment--in fact, I may never ask about it! My first thought on seeing that number on the lab slip was: "Holy Crap!" I was terrified. God Bless my husband who looked at me and said..."Just this once, could you at least have tried to be an underachiever?"


    From what I've read here, I kind of expect my CA-125 results to be something like the little mini roller coasters you see in the kiddie amusement parks. A few peaks, a few valleys and an overall lowering through the course of the treatment, with NED waiting for me at the end of the ride!

    I'm trying very hard to take this journey one step at a time, I'm learning that when I start thinking too far ahead of myself, all I do is create a situation for myself where I need to reach for Xanax. (I'm not always successful and the thought of chemo is truly scary for me) but I really do try to not worry or make predictions about those things that aren't in my control.


    By the way..your first sentence which included the words "in 29 years" gives me great hope for all of us! Your mom is truly a teal champion! I will keep you all in my prayers!
  • Tina Brown
    Tina Brown Member Posts: 1,036 Member
    leesag said:

    CA125
    My CA125 at diagnosis was.....9824...nope not a typo, I think the 10 liters of fluid removed during surgery may have had something to do with the extreme elevation. I'm not asking about it again until after my first chemo treatment--in fact, I may never ask about it! My first thought on seeing that number on the lab slip was: "Holy Crap!" I was terrified. God Bless my husband who looked at me and said..."Just this once, could you at least have tried to be an underachiever?"


    From what I've read here, I kind of expect my CA-125 results to be something like the little mini roller coasters you see in the kiddie amusement parks. A few peaks, a few valleys and an overall lowering through the course of the treatment, with NED waiting for me at the end of the ride!

    I'm trying very hard to take this journey one step at a time, I'm learning that when I start thinking too far ahead of myself, all I do is create a situation for myself where I need to reach for Xanax. (I'm not always successful and the thought of chemo is truly scary for me) but I really do try to not worry or make predictions about those things that aren't in my control.


    By the way..your first sentence which included the words "in 29 years" gives me great hope for all of us! Your mom is truly a teal champion! I will keep you all in my prayers!

    Hi Leesa
    I am sorry your CA 125 so high but it is not the highest I have ever heard of - I think one of the ladies on here was over 14,000. However, please take heed and let the doctors tell you how much it comes down after each chemo. IT WILL COME DOWN. Don't give up as the chemo is designed to kill off the cancer cells or reduce a tumor which in turn will bring down the CA 125. If you can't face it to hear what the doctors tell you, have them write it down for you to read later. Trust me - as the CA125 begins to come down so you will begin to have HOPE and that will give you extra resolve to keep on fighting this beast.

    Much love and luck Tina xxxx
  • catcan
    catcan Member Posts: 119
    CA125
    Hi Tracy

    Any drop is good. I was at 2352 when I was first diagnosed and it dropped a couple hundred the first and second then dropped 1000. I got it down to 183 by end of my chemo sessions. I just had my first session of round 2 on Wednesday as my counts went up. My doctor and nurses all tell me not to get stresses about these counts because other things can effect them. I will say a prayer for your mom tell her to stay strong and you too. you have also given us hope by sharing your mom's remission for 29 yrs.

    Cat
  • Hissy_Fitz
    Hissy_Fitz Member Posts: 1,834
    leesag said:

    CA125
    My CA125 at diagnosis was.....9824...nope not a typo, I think the 10 liters of fluid removed during surgery may have had something to do with the extreme elevation. I'm not asking about it again until after my first chemo treatment--in fact, I may never ask about it! My first thought on seeing that number on the lab slip was: "Holy Crap!" I was terrified. God Bless my husband who looked at me and said..."Just this once, could you at least have tried to be an underachiever?"


    From what I've read here, I kind of expect my CA-125 results to be something like the little mini roller coasters you see in the kiddie amusement parks. A few peaks, a few valleys and an overall lowering through the course of the treatment, with NED waiting for me at the end of the ride!

    I'm trying very hard to take this journey one step at a time, I'm learning that when I start thinking too far ahead of myself, all I do is create a situation for myself where I need to reach for Xanax. (I'm not always successful and the thought of chemo is truly scary for me) but I really do try to not worry or make predictions about those things that aren't in my control.


    By the way..your first sentence which included the words "in 29 years" gives me great hope for all of us! Your mom is truly a teal champion! I will keep you all in my prayers!

    Leesa.....your husband is a
    Leesa.....your husband is a riot! Great sense of perspective and humor - not there is truly any humor in a cancer diagnosis, but if you can't laugh at it, that just gives it more power.

    I second the advice to ASK. You will be doing the happy dance once you see those numbers plummet. And they will.

    I know the "holy crap" feeling. When I asked the nurse pre-op what mine was, she hesitated so long, it was obvious she didn't want to tell me. And mine was "only" 4,000 - a baby number compared to yours, but the highest I have ever heard of was 18,000, so take heart that you are not, in this case, a record-setter.

    And you are right.....the ascites has a LOT to do with the number, as does any bowel/bladder involvement. Surgery alone cut my CA125 almost in half, even though I still had lots of issues. After three chemo sessions, it was 19. And it's still dropping.

    Don't be scared of the chemo. I had a reaction to the first dose of Carboplatin, they stopped it for 45 minutes, then started it back up at a slower rate. Since then, each session has gotten easier. My only side effects have been fatigue and a very tiny bit of nausea, which was quickly curbed with meds. (Not counting the hair loss, of course. That is a given. Don't grieve for your hair; it will come back.)

    Is your husband going to be with you during chemo? It's a great comfort to have someone there.

    I'm a worrier by nature. And one of those people who just has to know what's going on, what the stats are, etc. I make myself crazy sometimes. Pass the Xanax, please.

    Carlene
  • azgrandma
    azgrandma Member Posts: 609 Member
    catcan said:

    CA125
    Hi Tracy

    Any drop is good. I was at 2352 when I was first diagnosed and it dropped a couple hundred the first and second then dropped 1000. I got it down to 183 by end of my chemo sessions. I just had my first session of round 2 on Wednesday as my counts went up. My doctor and nurses all tell me not to get stresses about these counts because other things can effect them. I will say a prayer for your mom tell her to stay strong and you too. you have also given us hope by sharing your mom's remission for 29 yrs.

    Cat

    what is a normal no
    what number is normal

    I have never been told my no
  • Hissy_Fitz
    Hissy_Fitz Member Posts: 1,834
    azgrandma said:

    what is a normal no
    what number is normal

    I have never been told my no

    Normal CA125 is 0-35.

    Normal CA125 is 0-35.