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CEA and CA19-9 Results as Predictors of Treatment Outcome
Pancreatic Cancer | Last Active: Aug 16, 2023 | Replies (30)Comment receiving replies
Prior to my distal pancreatectomy and splenectomy for IPMN, my CA number was 552. After surgery, it was 75. Resected portion revealed adenocarcinoma, forgot size. Margins were clean, no spread, 16 lymph nodes good. I was stage 1b. I did 12 rounds of Folferinox, after which CA was 1400, scan showed spread to liver. I started Gemzar Abraxane and next CA was 1600, three weeks later CA dropped to 1000. Doctor surmised that the new chemo caused the CA jump to 1600. New scan scheduled for July 25. The CA number is one indicator, but by itself doesn't tell the whole story (that is my experience). Hope this info is helpful. Everyone is different. Best wishes.
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My CA19-9 prior to my distal pancreatectomy w/splenectomy in Jan/2023 was 195. I was diagnosed at Stage 1B upon having the surgery. After the surgery my CA19-9 value decreased to 10. In February it began creeping up again to 42.
I just completed round 5 of chemo (5FU/Oxaliplatin/Irinotecan/Leucovorin) and my CA19-9 is currently at 155. It has jumped in the range from 115-217 decreasing gradually since 4 weeks ago. Still in the high range. My CEA is currently holding within the normal range of 0.0-4.7. I am currently at 3.5 so it’s been gradually increasing with each chemo round. From 1.3 a month ago to 2.0 two weeks ago, now to 3.5. This scares me! What this all means, I don’t really know. I just had a CT scan on Wednesday plus an MRI yesterday as they found 2 spots of concern in my peritoneum below my liver & on my uterus from a recent PET scan. It seems we are always waiting on results that are never conclusive. Not a fun way to live! :-/