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Pancreas Cancer

ca19-9 was posted 05/17/2018 08:53 pm by Anonymous
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Why did they check it so soon after chemo? This is your first treatment of chemo, so you wouldn't know this, but it is too soon to check CA19-9. We never checked it until we were done with a course of treatment. Like after a couple months or more.

It is useless to check it so soon after you have had chemo, because chemo can kill the cancer cells which will also cause an increase in the CA19-9. The cells die and burst so all the CA19-9 leaks out and the level rises.... before it falls. So this increase you saw is likely misleading.

So I would try to step back and not be focused on this number. It is not the week to week fluctuations but the longer term trends you need to be concerned about. This is why sometimes more testing is BAD.... you think you want more information, but honestly, even if the doctor told you not to worry about it (he was right!), you will. That is normal. I would have worried too if I hadn't known! So I say.... the doctor shouldn't have tested it at all!

Good luck. I hope your spouse tolerates the chemo well. Remember, there are lots of things that can improve the side effects of chemo so be sure to call the doctor or your chemo nurse if you have any questions or concerns. It can always be better.

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