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This question was answered on Wed 28, May 2008 12:34am by Dr Paul S, MD

cancel of the lungs that may have returned from bowel cancer 8 years ago sdrenocarcinoma


    
Asked by deborahmaree (Male; 48; bowel cancer hereditory; Relevant drugs:not sure what that means ) on Tue 27, May 2008 03:39pm

hi my partner had adrenocarcinoma 8 years ago in bowel ever year he had colonoscope and every 3 month c.e.a test last test was 3 months ago for c.e.a. it was 1 then routin ct scan found at least 12 spots on lungs they think its the bowel cancer returned why didnt c.e.a show some level could this be because its in early stage desparate for some answers thanks Deborah
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Answer by Dr Paul S, MD  on Wed 28, May 2008 12:34am:

Hi there. The 12 spots on the lungs may indeed be from the bowel cancer, and if can be proven as such, then the patient is said to have metastatic disease. The test which can determine if the spots are malignant is called the FDG-PET Scan with or without CT scan. If the spots are malignant, they would "light up" on PET scan. If still equivocal, a biopsy may have to be performed. CEA may not always be elevated in bowel cancers or in their recurrence. some bowel cancers do not produce this substance and for some, it is not a reliable indicator of disease progression. Another possibility, especially in heavy smokers, is the possibility of another primary cancer in the lungs (primary lung cancer, and not metastatic cancer from the bowels). This may explain the normal CEA levels. I suggest you discuss these possibilities and options with your partner's doctors, and I hope everything will turn out fine. Regards and God bless.

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Comment by deborahmaree on Wed 28, May 2008 01:28am: thanks for your answer, just one other thing would it be a better result if it was primary lung or mataststic bowel thanks deborah
Comment by Dr Paul S, MD on Wed 28, May 2008 06:12pm: A primary lung cancer this extensive will have a median survival period of about 8-10 months, compared if this were metastatic colon cancer which can have median survival of 18-24 months based on clinical trials. Regards.

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