Signatera results: Does the increase mean cancer is back?
Signatera Test was done after rectal cancer surgery. May & July test 0.00 MTM/ML and Nov 2023 test 0.05 MTM/ML(positive below Analytical Range).
Does the November Positive 0.05 result mean my cancer is coming back? CT scan for chest/abdomen/pelvis scheduled for end of November this year. Please share your thoughts.
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Hello 🙂
I’m 10 weeks post surgery ( March 6th).
ovarian 1c2 (and uterine 1a), endometrioid g2. Neg washing’s & lymph’s. Been staying with holistic care and considering carboplatin alone (would start next week).
Got my test back today & it was negative.
Not sure if I should do chemo now 🤔 as I do have worries about chemo AND I am very active with the holistic care (diet, fasting, supplements, off label drugs, IVC, etc)
Anyone have experience with a negative (so early) & then a positive (with similar dx and timeline)? Not sure if I should wait and watch and do chemo later if/ when needed. Or if there is a solid clinical argument that chemo now is hands down the best approach.
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2 ReactionsYes, Signatera.
Was from 5 weeks post surgery. I’m ten weeks now ( but just getting results). They sampled 9 nodes.
Was told next Signatera would be July. The oncologist is considering just carboplatin. Possibly monitoring with this new info from the test.
Last year I was diagnosed with small bowel cancer. Surgery removed it and chemo was completed after 6 months in March. The reported MTM/ml after chemo was 2.79 that same month. The following test 3 months later 22.61. I am concerned in the 10 fold increase in such a short time. What does this mean?
My Signatera results have been down .58 then up 2.17 then down.72 and now up 1.99...very disappointing after going down. I'm on Libtayo immunotherapy over a year now for squamous cell that went to a lymph node in my neck. I had cryoablation successfully and that's when it went down to .72 and I was hoping we got it all. I go for my next infusion Wed. and will see what they say...
Stage 2A colorectal cancer diagnosis in April 2021 (43 y/o at the time). Resection surgery for tumor removal (in addition to full hysterectomy, appendectomy, and gall bladder removal just to be on the safe side). No lymph node involvement. No treatments recommended due to being stage 2 with no lymph nodes involved. Have been monitored by Signatera labs every 3 months for 5 years and all results have been 0.00 (praise the Lord) until this most recent one (literally one month before being at the 5 year mark) came back 0.05. All colonoscopies over the past 5 years also came back clear. I know 0.05 is very low, but what in the world?? Why all of a sudden? Anyone ever have this happen after soooo long with 0.00? False positive possibly?? Just had my latest colonoscopy last week and it was clear. Trying not to worry but as you can imagine, that’s easier said than done….especially after thinking I was about to be essentially “out of the woods” from all of this by reaching the 5 year mark.
*Further note: I had my scheduled labs drawn in January 2026. In February, ONC lab called to tell me that Signatera was requesting a redraw due to the sample not having enough cell-free DNA (whatever that means). So I went and did new labs in February. Waited and waited for results (it should only take a week or two to get results). When March rolled around and I still didn’t hear anything, I was really confused. Then in March, ONC lab called and said the exact same thing as before “Signatera is requesting a redraw due to an issue with the sample.” I said “Again??” And she said “What do you mean ‘again?’” I told her this will be the second time I’ve been called to come do my labs again. And she was like “Oh goodness…well, we just got a call from them today that they need a new sample.” So I went again in March, and this time the results came back in their normal timeframe but with this positive 0.05 result. So I don’t know whether to think there’s an issue with how the sample was processed and maybe it’s somehow a false positive or if there’s actually something to it. I’m sure they will have me test again in a few weeks or so to see if it returns to 0.00 or is still up at all. My ONC nurse called today to get me scheduled with the ONC and she said ONC said to reassure me that she has seen this before and that in some cases it returns back to 0.0 at the next lab draw.
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2 ReactionsEn lo personal, esto es normal de acuerdo a mi oncologo, ese x% lo tenemos todo, que de alli siga aumentando es cuando hay que tener cuidado yo tengo 1 y estoy libre de cancer hace 4 años 1/2.
Suerte y que todo te salga bien y recuerda no perder la fe en Dios.
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@apinzonc0627 Do you mean you have one positive result after 4 & 1/2 years, or do you mean your result was 1.0 after 4 & 1/2 years? Have you had continued positive results that are trending upward or just one isolated positive result? What is your oncologist recommending based on your positive result? Mine ordered a CT of my chest and abdomen based on that one 0.05 result, and the CT was clear, so I was very thankful for that. Now I’m just waiting on the results of my next labs and am praying they return to 0.00 and that maybe that 0.05 was not a true positive. Praying all of the best for you and your situation!
Mi resultados en mis pruebas siempre ha sido uno hasta ahora, ya me hice tomografía, PET y ambos me dicen que no hay cancer en el cuerpo,que estoy libre gracias a Dios.
Mi oncologo me dice que el margen normal hoy día es hasta 1.5 que la mayoría de la personas estan en ese rango cuando me hacen el CEA también me sale normal.
Suerte espero que todo te salga bien.
Saludos
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@apinzonc0627 Oh ok, well that’s very good for you that all of your scans remain clear and that your CEA number is normal also. They checked my CEA also, and it is 1.1, which is the same as it was 5 years ago post-surgery. So it has remained unchanged in 5 years. I am just going to have to wait for the results of this next Signatera lab to come back.
Diagnosed with stage 3 small intestine cancer. Had surgery and 10 rounds of chemo. It has been 15 months since surgery and 9 months since last chemo. I ended up sepsis and lung disease which put me on oxygen for 8 months so far but improving. Since completing treatment have had two cat scans and two blood tests which didn’t find cancer but just recently a new test, Signatera came back abnormal with a 27 value. I have not met with my oncologist yet but wonder if anyone has experienced Signatera?
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