My mum's ovarian cancer condition worsened in Jan this year. This led to several bowel obstructions where my mum had non-stop vomiting of green bile. After starting chemo, her condition stabilised and for the last 3 weeks, had graduated from soft diet to normal diet. She passes gas and motion every day. Her CA-125 also dropped steadily from 3500+ to 500+. Today, she started the 3rd cycle of her chemo regime and before the start of the chemo, she had a CT scan and CA-125 test.
That is where all the confusion started. My mum's CA-125 showed a spike from 500 + to 900+. And to make matters worse, the CT-scan report stated there is no 'significant change' since the last CT-scan in Feb.
Both the doc and my mum are taken back. What happened in Feb when my mum took her CT scan? My mum had severe bowel blockage and was unable to pass gas or motion. She could not eat or drink anything and constantly vomit green bile every 30 minutes. My mum's stomach was so grossly distended and was as hard as a rock. The CT-scan indicated that there is a 15 cm peritoneal cake all over the intestines which the CT scan concluded caused the obstruction. And moderate ascities are present.
Fast forward to present situation. My mum could have a normal diet. She could pass gas (smelly ones) and motion every day naturally. Since the 15cm peritoneal cake is still there with no changes and coated over the whole length of small intestines, she should not be able to eat or have any food/water pass through. My mum's stomach looks normal and is tender. And when the doc knocks my mum's stomach, he couldn't hear/feel the 'moderate' ascities stated in the report.
So if what the current CT scan is true which stated that 15cm peritoneal is still there with no changes, my mum should be what she was going through in Feb and not being able to eat/drink. The CA-125 also seemed to back the CT scan results which showed a sharp spike.
Under normal circumstances, I would be upset with the CT scan and CA-125 results but the results seemed to be at odds with my mum's condition.
The doc still give the order ahead to start the same chemo regime and I am supposed to bring the Feb CT scans to him to compare. When I asked the doc whether the results indicated that the chemo regime is not working, he said that he wanted to wait for another week after the chemo to do a re-test of CA-125 and that radiologists 'sometimes see things differently'.
Anyone have similar experience?