Why are cancer markers 15-3 and 19-9 rising while CA-125 isn’t?

Posted by cookercooker @cookercooker, Oct 9 8:06am

Hi there, was wondering why ca 19-9 and ca 15-3 are elevated and/or rising, despite ca 125 "normal" . I have stage 3C2 serous endometrial cancer. CT scan shows tumors shrinking on ENHERTU. So am confused why these markers are still elevated.

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@naturegirl5 No, my oncologist didn't explain why these markers were ordered or why they continue to order them. I had asked about them and why they were elevated and he didn't answer me (not that I can recall anyway). That was my first oncologist, the one who treated me with carbo/paclit. Then I switched oncologists as I went in for a clinical trial testing Enhertu. I has asked the nurse the significance of the markers and she said they don't really go by the markers. I've been receiving CT scans every 6 weeks on this trial, and the tumors are shrinking, and one has disappeared, for all intents and purposes. Yet 19-9 and 15-3 still show slight elevation. So, I'm still in the dark.

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@cookercooker it is appalling that your questions were not answered. In a clinical trial these markers may be used in the data analysis to see if they are useful for monitoring cases like yours. In real clinical use, these markers *may* indicate other cancers in different organ systems, but they would only be raising a flag that would require follow-up, they are not diagnostic in and of themselves. For example, people with high ca 19-9 sometimes have pancreatic cancer or bile duct cancer, but they can also have an inflammation of the pancreas or even gall bladder issues. Do you have a new oncologist besides the clinical trial team, or do they have an oncologist who will answer your questions about the possible need for follow-up?

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Profile picture for koche005 @koche005

@cookercooker it is appalling that your questions were not answered. In a clinical trial these markers may be used in the data analysis to see if they are useful for monitoring cases like yours. In real clinical use, these markers *may* indicate other cancers in different organ systems, but they would only be raising a flag that would require follow-up, they are not diagnostic in and of themselves. For example, people with high ca 19-9 sometimes have pancreatic cancer or bile duct cancer, but they can also have an inflammation of the pancreas or even gall bladder issues. Do you have a new oncologist besides the clinical trial team, or do they have an oncologist who will answer your questions about the possible need for follow-up?

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@koche005 No, I don't have another oncologist.I requested that I see the gynecological oncologist who assisted the surgeon who performed my hysterectomy, but she turned the request down. I haven't received a reason for this.

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