CEA level

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How do I find out my CEA? I have a Chemotherapy Record book which has places to record the following, do any equate to CEA?
FBC; Hb; WBC; Plts; Neutrophils ?
If not, how do I know the CEA value, us it a good thing to know?

Living with Stage 4 Bowel Cancer Facebook site members refer to it a lot, just wondering how to find it, and if it a a useful/good thing to know, or is it just a number to be misinterpreted please?


Thanks
Ian

  • Hi 

    During chemo it was on my mum’s blood panel . I have heard recently that some hospitals have stopped using them . However your Gp should have access to them prior to any treatment commencing so if the hospital did record it you could ask them . 
    It is not reliable enough to use as a diagnostic tool and some people don’t have any rise in theirs at all . My mum’s was a small increase . However it can be useful if it’s reliable to indicate a spread and to pull a scan forward . My mum has had that a few times .

    Also it can unreliable for some people during chemo as it can start to get influenced by chemo itself . That also happened to my mum however it also showed an initial downward trajectory which they like to see but scans remain the most reliable tool . It has its place though !

    All just my own opinions from reading and experiences with my mum ! They can also show false positives but I still think they still have a role in my humble opinion!

    take care ,

    Court 

    Helpline Number 0808 808 0000

  • Hi Court

    Mant thanks for the detailed and informative reply, as you say, scans are the most reliable progress check, just wondered why so many refer to the CEA level, you've put my mind at rest

    Many thanks

    Ian

  • They can cause so much anxiety as other factors can cause them to rise like inflammation in the body ! This has happened the last two years to my mum as she aged a little . They retake it a month or so later and if still high rescan . All scans were fine but the patient is left sweating it out and I think some Drs have issues with that aspect ! However for some people it allows them to recommence treatment when required.

    Take care ,

    Court 

    Helpline Number 0808 808 0000

  • Hi Ian

    FBC = Full blood count, Hb= Haemoglobin Plts= Platelets and Neutrophil levels all indicate how healthy your blood is as it takes a battering during chemo.

    CEA is a protein that tumours often make 1-3 in a non smoker or 1-5 in smoker is " normal" an increase in CEA can indicate an active tumour...however its not very reliable as approx 1 in 6 tumours dont actually make it, some hospitals dont even bother with it at all

    dom

  • Hi, as has already been said CEA doesn't show in some patients, for my husband it's a very good marker, at diagnosis his CEA was 14,026 after 7 rounds of chemo 870 and scans showed great shrinkage, he's now in double figures 86 after the last 6 chemos just awaiting next scan results. The results come every 2 weeks as it's part of the bloods taken before each chemo. Copied this from a post by a nurse, explains it pretty well. 

    CEA markers

    CEA (carcinoembryonic antigen) is a protein made by some types of cancer including bowel cancer. Your CEA level can be measured by a simple blood test.
    CEA markers can be used by your doctor to monitor the response to chemotherapy, as well as often being used in the follow-up period when treatment ends.
    However a CEA test cannot be used on its own as a means to diagnose bowel cancer, because not all bowel cancers produce the protein. So, some people
    who have bowel cancer do not show raised CEA levels at all.
    Measuring CEA as part of your follow-up care becomes a useful test if your level was raised before the tumour was removed. In this case, a rising CEA level in the months and years following your operation could be an indicator of the cancer coming
    back. CEA can be a useful marker for detecting a new CEA-producing tumour, but a one-off raised CEA is not necessarily a sign of the cancer returning.
    Sometimes the CEA test is repeated to check that it wasn’t just a blip or it might trigger scans in order to find out more. Understandably, any rise in your CEA
    level can cause a great deal of anxiety for you and everyone close to you.
    What are normal CEA levels
    A normal CEA level for an adult non-smoker is less than 2.5 and for a smoker less than 5. However your CEA level goes up and down over time, just like your blood sugar level, blood pressure and heart rate. So a rise of anything up to 5, 6 or 7 could still be normal.
    What pattern of CEA rise triggers investigation
    A CEA level rise of 4 to 5 does not mean that your cancer is returning. On the other hand, an upward trend of, for example, 4, 10, 20 at consecutive readings would trigger further investigation.
    Other causes of a rising CEA
    Several factors can cause your CEA level to rise, including smoking, an infection, inflammatory bowel disease, pancreatitis, liver cirrhosis and other cancers. Chemotherapy and radiotherapy can also cause a temporary rise in CEA levels.

    Love Frances xx