Small lung nodule followup 12 years, high CEA marker

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Hi to everybody from Croatia!

I am writing this in behalf of my father, 79 years, non smoker.

He had heart infarct 12 years ago and since then he is OK wtih the help of medications. In one RTG after heart attack there was noticed one smal lung nodule 10x10 mm thaht has progrresed to 20x20 mm in this 12 years. Many CTs, PET-CTs, bronchoscopies etc. during this time did not show any progression or signs of malignacy. Thoracic surgenon is in opinion that we do not need to operate this because of risks (heart disease).

Additionaly, my father has other diagnoses: osteoporosis, ankylosing spondylitis, GERB, gastritis (probably because of many madications for heart), hip replacement (this year), fatty liver. Pneumonia in 04/2022 (curred with antibiotics).

But, in general, he is ok,no symptoms at all, in good condition (considering the age and heart diagnosis).

2 years ago we did (on thoracic surgeon suggestion) tumor markers: CEA, NSE, CYFRa 21-1, PSA. Only CEA was elevated: 12.
Because of elevated CEA we performed completely GI examinations:

- gastroscopy: dg. gastritis and GERB, no malignancy
- colonoscopy: found diverticules, no malignancy
- ultrasound of abdomen: fatty liver, small gallstones, no malignancy in any organ

Few day ago we repeated marker and CEA showed shocking 56 ng/mL. Other markers are OK.

And now we are worried what is that about. No signs of malignacy, metastases, or any other disease. Colud it be so high because of autoimune disease (ank. spondylitis), GERB, spondylitis or what... or this old lung nodule started to do something (after 12 years, thoracic surgeon is in opinion that this is some benign nodule).

Sorry for my bad english and thank You for any info...

  • Hi myroman, as the nodule in the lung has been there for 12 years I doubt it will be anything to do with the CEA, although I am not a medical profession, so can’t give any advice as to what may be causing this. 

    I would look at the positives from the recent tests, which overall sound ok. Can you talk to your dads doctor about the CEA results and ask him to explain what it could be ? 

    “Try to be a rainbow, in somebody else's cloud” ~ Maya Angelou
    Chelle 

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  • Hi!

    Today we visited thoracic surgeon and made RTG of lung. The nodule is stationary, no changes.

    Doctor said that this elevated CEA could be "everything or nothing". And there is no corelation with long nodule.

    He suggested to repeat gastroenterolgical examinations and suggested that GI doctor prescribe PET/CT. And so, we are going into the fight for PET/CT.