My husband and CC – My question is on CA-19-tumour markers rising
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Hi,
For ductal CC,the treatment of choices included external beam radiation therapy(EBRT);5FU or gemcitabine systemic chemo therapy.Local ablation for intrabiliary therapies included photodynamic therapy(PDT) and brachytherapy or clinical trials.
RFA is mainly for intrahepatic CC treatment. therefore RFA may not be the choice for your husband if his liver is not involved.
Swollen lymph node sometimes is due to infection rather than the CC,so your oncologist may be right on that.
God bless.Phil, of course you may e mail me. lainy@wbhsi.net
Hi,
Thanks for your reply, yes my husband is doing a PET scan next month as he had a CT scan 8 weeks back with contrast and it showed a swollen lymph node near the liver but according to the Oncologist he said that it may be nothing. The MRI sounds interesting I will check with the Oncologlist and will update you. My husband has extrahepatic CC (distal bile duct cancer). I am hoping that they have RFA in Australia. I am going crazy trying to cope but your reply has given me some hope. God bless — PhilHi,
Ca19-9 tumor marker is not a reliable test for detection of CC. esp. for intrahepatic CC. However when the CA19-9 cutoff value was raised to 100,the specificity was found to be higher in patients with peripheral CC.My best suggestion to you is :
Try to ask the doctor to get the PET Scan done as soon as possible if one had not been done within the last couple months.If a CT was done within the last couple months and shown nothing,then ask to do a MRI.
MRI with contrast is the best chose of scans to detect lesions<1cm .
Only the scan will give you a definite answer.
Recurrence is common in CC but there are still many ways to combat this disease ;among them, radiation frequency ablation(RFA ) is one of the option if surgery is not indicated.
God bless.I have not been here for a while as it has been difficult with work and home with my 3 kids and my hubby. My husband had whipples in August 2009. Long recovery and almost 3 months in hospital. He was doing ok until recently, his blood tests show a rise in Ca-19-9 from 47 to 87 and now 200 the last test that was taken 4 weeks back. Now we are due for another test. The surgeon just said that it is not a good sign but nothing more. Can anyone help me please?. He is having a PET scan late May, does this mean a recurrence and if so, what next? The surgeon also mentioned that he will not be able to operate on him again. Any advice. Thanks Phil.
Lainy, is it possible for me to e-mail you sometime, thanks Phil
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