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That is a big jump in your marker, but it is also a good sign that your pain has improved.
Sometimes when you have cancer that has spread to two places it is possible that they react a little differently. While one location may respond to the chemo, the cancer in another location is less responsive. The rise in CA19-9 could reflect that.
But sometimes when the cancer is dying from the chemo, the marker can go up from all of the cells that are dying/popping and releasing the marker into the bloodstream. For this reason, we often wait to re-check the marker until you have completed a few months of chemo usually or it can be a bit confusing.
I would follow your doctor's lead. Sounds like you he wants to do another scan. Let us know what it shows.
I'm really glad your pain is better. That is still a good sign, and we are
going to be hopeful with you. Just take it one day at a time, and keep
moving forward. You can do this.
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