CA-125 Results Went Up: Should I be concerned?

Posted by stparker54 @stparker54, Aug 26, 2020

The results of my CA-125 tumor marker test increased from 16.8 to 20.3. This is the fourth time I’ve had a tumor marker test and it’s the first time there was an increase in the results. How concerned should I be?

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@1morgan

I have they say they won't treat a number untill they find out wheres it coming from.

I think its crazy waiting another four weeks to see if anything shows up, it jumps over two hundred points in two weeks waiting just make it worse and am not sure where to go next. I afraid in four weeks it jumps to thousands. What can I do?

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I believe there was a study done for ovarian cancer, treating people whose CA 125 was up but no physical evidence of recurrence, comparing them with people who were not treated until there was physical evidence. Treating early on the basis of CA 125 did not help, at least in terms of mortality. Counterintuitive, but OC seems to be very tricky.
So that's probably why nobody wants to start aggressive treatment on the basis of rising CA 125. The doctors don't want to trade good months where you're physically feeling okay, for bad ones when you're beat up by chemo, if the outcome is no different. I think they don't take into account the misery of knowing something's wrong and not having anything to do about it. I think if this happens to me (I'm in remission right now) I will take myself to a beach or jungle resort before the next scan.

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Most oncologists don’t use CA-125 as more than an indicator to look further. They do use it to track the effectiveness of treatments in active patients such as my wife. For what it’s worth, your
20..3 with no other negative indicators is considered being in the normal range

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@smalayman4016

Have they done any scans ?

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A pet scan and a car scan nothing found

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@colleenyoung

@1morgan, I know this can be very unnerving. It sounds like your doctors are monitoring you closely and have done further investigations with the PET scan and CT scan. It's encouraging that they show nothing. However, your team wants to keep a close eye on the CA-125. I know the changing numbers are increasing your worry. I hope the close monitoring you are getting is helping to give your assurance that they are keeping a careful eye on everything.

A number of conditions that aren't cancerous can cause an elevated CA 125 level, including:
– Endometriosis
– Liver disease
– Menstruation
– Pelvic inflammatory disease
– Pregnancy
– Uterine fibroids

Has your team also monitored your liver function and for pelvic inflammation?

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Thank you for taking the time.
They have not liver, or pelvic inflammation. i will ask about them in my next visit.

Thank you

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@1morgan

Got new results my cancer agent is 925 two weeks before 773 .but both the catscan and pet scan showed nothing .what could that be?
Thank you

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@1morgan, I know this can be very unnerving. It sounds like your doctors are monitoring you closely and have done further investigations with the PET scan and CT scan. It's encouraging that they show nothing. However, your team wants to keep a close eye on the CA-125. I know the changing numbers are increasing your worry. I hope the close monitoring you are getting is helping to give your assurance that they are keeping a careful eye on everything.

A number of conditions that aren't cancerous can cause an elevated CA 125 level, including:
– Endometriosis
– Liver disease
– Menstruation
– Pelvic inflammatory disease
– Pregnancy
– Uterine fibroids

Has your team also monitored your liver function and for pelvic inflammation?

REPLY
@1morgan

Doctor says I have to wait till they find out where it is they don't treat a number. that just making me crazy. By four week I just can't image how high its going to be if within teo weeks it went from the seven hundreds to nine hundreds on Friday. Very confused.

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Have they done any scans ?

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Doctor says I have to wait till they find out where it is they don't treat a number. that just making me crazy. By four week I just can't image how high its going to be if within teo weeks it went from the seven hundreds to nine hundreds on Friday. Very confused.

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@smalayman4016

My wife’s doctor watches her CA-125 closely and adjusts her chemo based on this and her scans and other tests. I would suggest discussing this with your oncologist.

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I have they say they won't treat a number untill they find out wheres it coming from.

I think its crazy waiting another four weeks to see if anything shows up, it jumps over two hundred points in two weeks waiting just make it worse and am not sure where to go next. I afraid in four weeks it jumps to thousands. What can I do?

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@katycot

It is normal to worry a little when this happens. If you don’t have any symptoms, and it’s only a small blip up perhaps hold your breath and wait for the next test and hopefully it will be back down to the lower level again. Many things can cause some inflammation which result in a brief uptick.

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Got new results my cancer agent is 925 two weeks before 773 .but both the catscan and pet scan showed nothing .what could that be?
Thank you

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My wife’s doctor watches her CA-125 closely and adjusts her chemo based on this and her scans and other tests. I would suggest discussing this with your oncologist.

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