CA 125 test


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Definition

By Mayo Clinic staff

Living With Cancer

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A CA 125 test measures the amount of the protein CA 125 (cancer antigen 125) in your blood.

Many different conditions can cause an increase in CA 125. These include uterine fibroids, endometriosis, pelvic inflammatory disease and cirrhosis, as well as pregnancy and normal menstruation. Certain cancers, including ovarian, endometrial, peritoneal and fallopian tube, also can cause CA 125 to be released into the bloodstream.

A CA 125 test isn't accurate enough to use for cancer screening in all women — especially premenopausal women — because many benign conditions can increase the CA 125 level. What's more, CA 125 levels are normal in many women with early-stage ovarian cancer.

References
  1. CA-125. Lab Tests Online. http://labtestsonline.org/understanding/analytes/ca125/. Accessed March 2, 2011.
  2. Carlson KJ. Screening for ovarian cancer. http://www.uptodate.com/home/index.html. Accessed March 2, 2011.
  3. Clarke-Pearson DL. Screening for ovarian cancer. New England Journal of Medicine. 2009;361:170.
  4. Understanding CA 125 levels: A guide for ovarian cancer patients. Gynecologic Cancer Foundation. http://www.wcn.org/downloads/CA125levels.pdf. Accessed March 2, 2011.
  5. Tumor markers: Questions and answers. National Cancer Institute. http://www.cancer.gov/cancertopics/factsheet/detection/tumor-markers. Accessed March 2, 2011.
  6. How is endometrial cancer diagnosed? American Cancer Society. http://www.cancer.org/Cancer/EndometrialCancer/DetailedGuide/endometrial-uterine-cancer-diagnosis. Accessed March 2, 2011.
  7. Stany MP, et al. Clinical decision making using ovarian cancer risk assessment. AJR. 2010;194:337.
  8. Memarzadeh S, et al. Cancer of the fallopian tube. http://www.uptodate.com/home/index.html. Accessed March 2, 2011.
  9. Goff B. Early detection of epithelial ovarian cancer: Role of symptom recognition. http://www.uptodate.com/home/index.html. Accessed March 2, 2011.
  10. Rustin GJS, et al. Early versus delayed treatment of relapsed ovarian cancer (MRC OV05/EORTC 55955): A randomised trial. The Lancet. 2010;376:1155.
  11. Ovarian cancer: Can ovarian cancer be found early? American Cancer Society. http://www.cancer.org/Cancer/OvarianCancer/DetailedGuide/ovarian-cancer-detection. Accessed March 2, 2011.
  12. Ovarian cancer: Common questions about symptoms and screening. American Cancer Society. http://www.cancer.org/Cancer/news/ovarian-cancer-why-screening-isnt-routine?ssDomain. Accessed March 2, 2011.
  13. Laboratory reference values. CA 125. Rochester, Minn.: Mayo Foundation for Medical Education and Research; Feb. 2011.
  14. Bast RC. CA 125 and the detection of recurrent ovarian cancer. Cancer. 2010;116:2850.
MY00590 April 16, 2011

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