• Lab values

    Asked by livezey on Saturday, March 2, 2013

    Lab values

    My liver function tests were elevated from my lab draw 2 weeks ago. Scheduled for my 2nd chemo this Thursday. Does the oncologist change your chemo drugs or suspend your chemo if your Lft's remain elevated. Had another lab draw 3 days ago but I do not have access to those results at this time. All my values were over 100. I had my first chemo (carboplastin and taxmol) Feb 14th.

    6 Answers from the Community

    6 answers
    • SueRae1's Avatar

      I just took a look at my lab reports -to see my liver functions - these are from October (the last one I could find online - the infusion center takes forever to post results on the patient interface) when I was being treated with Carboplatin, Gemzar and Avastin : Aspartate Aminotransferase 104 U/L Alanine Aminotransferase 165 U/L (i am assuming these are the functions you are talking about) my other LF were normal, and I still received treatment.

      I do not know the specific of your case and what your complete Hepatic (liver) panel are, or even if you had a complete one, since they always test for the ones I mentioned, and may not do a complete panel.

      That said your oncologist will look at your the results of all your blood tests and make a determination on your treatment. Do not be suprised if you will have blood draws again on Thursday. Good Luck.

      over 3 years ago
    • nancyjac's Avatar

      It all boils down to risk/benefit analysis. Chemo messes with body functions. What are tolerable levels varies based on the individual patient.

      over 3 years ago
    • carm's Avatar

      Actually, carboplatin is dosed more on kidney function results (creatinine clearance), but I am sure that your doc will look at your labs and decide whether to continue the dose as it is uncommon to see increased SGOT/SGPT (aka AST/ALT) levels with carbo. With paclitaxol it is a concern as well but it depends on which LFTs were elevated and the results of the new lab draw. Best of luck to you, Carm RN.

      over 3 years ago
    • myb's Avatar

      I never missed a chemo when my Alkaline Phosphatase continually elevated through my 12 rounds of chemo (range 38 - 126) (59 69 72 76 86 105 129 167 173 200 210 216) and further elevated a month after chemo to 236 which concerned my GP. Finally at my 3 month checkup, it dropped to 130. My Oncologist said my blood levels had to be really out of the suggested levels to postpone a chemo. I was constantly watching my RBC, WBC and Platelets. I actually took all my blood results and put into an excel table to track over time from diagnosis, surgery, chemo and post chemo. Love that at Upenn I have access to my lab results and scans as soon as my Oncologist reviewed them.

      over 3 years ago
    • kelley_gleason's Avatar

      They did suspend my chemo, but my levels were much higher, 300's, 400's and 600's for ALT, AST and Alk phos. Like someone else said, it's benefit vs risk.

      over 3 years ago
    • livezey's Avatar

      Thank you all for your answers to my question. I have a feeling I will be having my 2nd scheduled chemo this Thursday as planned. I will keep you all posted after next week.

      over 3 years ago

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