The Functional Medicine doctor I see occasionally offers the RGCC Oncotrace test to assess for circulating tumor cells and cancer biomarkers.

I decided to pay for the test both before and after my Stage 1a lung cancer surgery ( clean margins and negative lymph nodes). The RGCC test showed a positive level of 2.4 prior to surgery and 2.1 six weeks after surgery. I contacted RGCC and I was told that cancer that is in remission should have a value of less than 1.4.

The pathology report on the lung cancer tumor showed adenocarcinoma. I was denied follow up with Oncology because I was told I didn't meet criteria.

The tumor that was removed during surgery was not tested for genetic or cancer biomarkers. I am trying to figure out what to do next.

What is standard of care for Oncology follow up after surgical removal of a tumor with clean margins and negative lymph nodes? I am concerned I still have cancer tumor cells in my blood. I would like to know my treatment options.