I was diagnosed 3 years ago with colorectal cancer, while living in New Zealand. We moved to the UK in 2020 and despite difficulties organising following during lock down etc., I eventually managed to get into the system. My CEA was 4 before I had surgery and down to 1 after surgery and during chemo. Since completing my 12 cycles of chemo, my CEA levels have been slowly but steadily rising and last January it was back up to 4. I expressed my concerned with the nurse who is doing my follow-up but she said that as my scan in June 2021 was all clear, the CEA levels were not high enough to be concerning but she could organised another scan, although she wouldn't recommend it. Instead, she send me for counselling to help me cope with the stress. My CEA levels continued to rise, reaching 6 in May and I've just had my yearly scan, which revealed nodules throughout my lungs - not looking good. Speaking to the gastrointestinal surgeon who broke the news, there were already nodules a year ago but they didn't seem significant enough to justify further investigations " we can't just investigate everyone with nodules in their lungs". Now I feel very angry: 1) I don't feel I'm anyone, after having colorectal cancer, with a 30% chance of recurrence in the liver and lungs, and 2) if I had known in January that the CT scan done 6 months previous was not actually totally clear but already presented with nodules, I would have pushed to get another one in January when I was concerned about my CEA levels rising. The point of having a follow up is to allow early detection and increase survival and I feel something has failed!!! Six months may not make a big difference (although cancer cells tend to grow exponentially), but any extra time I can have with my young children is huge to my family and I, with the hope that maybe I can see them through their teenage years :(
Hi Cecile
Welcome to the forum .
I am so sorry to hear about your experience. With time I started tracking my mum’s CEA using percentage rise and upward trajectories too . She was only 7 at diagnosis with a spread to her liver but sat the higher end of 3 to mid 4 without disease so it was complicated and like you have experienced yourself the normal does not fit some subgroups .
I can totally understand your concern around the lung issues . They are apparently incredibly slow growing and with the improvement with scanning they can now detect them at 2mm , my mum Had one they watched and it took two years to get to 8 mm but once it doubled in value they considered it potential cancer but at the lower end unidentifiable. However given a rising CEA I too would have been concerned. We only knew about it at that point . There were two others but no uptake .
Have you got a treatment plan ? I take it they will try some systemic approach to begin with .
We sadly lost the one guy in the U.K. ( dr Ladas who retired) who did multiple lung lesions on the NHS with laser technique. I think there is one surgeon in Germany still using it but don’t know anything else about efficiency and why it was not carried on . A question for a thoracic surgeon ! However depending on the size and location some people on this forum have had success with radio frequency ablation and my own mum’s oncologist did say it was giving surgeons a run for their money .
I think my mum’s tumours were roughly growing at 2mm a year if that helps . Have you had a PET scan ? Apparently they require to be a bit bigger to get uptake but my mum did get uptake at 7/8 mm .
Can I just say despite the horrible situation you have found yourself in you seem to have a firm grasp of all relevant factor . Has a thoracic surgeon had s look at your scan ? We have had people on the forum who have had brilliant responses to chemotherapy with lung mets . Hold on tight and we are most certainly here for you .
Take care ,
Court
Helpline Number 0808 808 0000
Thank you so much for sharing your experience with your Mum. I haven't seen the thoracic surgeon yet as they have been chasing the genetic analysis from my primary bowel tumour from the medical team I had in NZ so that they can make a decision on treatment. So, just waiting for now. Interesting to know about the laser technique, I'll definitely raise that option with the specialist. I also have a friend who works for a Manchester-based biotech called Amigen, who grow cancer cells from tumour biospies in the lab and test about 60 different drug combinations to see which gives the best response, with results within 3 weeks, so I'm going to look into that as well. Thank you very much for your support, it is much appreciated
That’s amazing . It’s seems the way to go . I think my mum was just fortunate it was the right chemo combination for her as she had tumours up to 5 cm that disappeared right off the scan !
Let us know and always around for a chat . Nothing like the right treatment plan to give hope . My mum’s mets arrived four to fife years after her initial diagnosis.we knew about them at year seven ! Her thoracic surgeon insisted it was all part of the initial spread . So with that logic she must have had disease there from the word go do chemo must have impacted it in some shape or form . That’s my non scientific assessment .
Take care ,
Court
Helpline Number 0808 808 0000
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007