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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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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Profile picture for 1morgan @1morgan

That sound great. I am freaking out and hoped I can calm my mind but its so hard.
Thank you for your advice

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Sorry wrong reply I am also hope and praying for everyone god bless

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Profile picture for Carrie @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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That sound great. I am freaking out and hoped I can calm my mind but its so hard.
Thank you for your advice

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Profile picture for Colleen Young, Connect Director @colleenyoung

Hi @1morgan, welcome. I moved your question about rising levels of CA 125 to this existing discussion:
- - CA-125 Results Went Up: Should I be concerned? https://connect.mayoclinic.org/discussion/ca-125-results-rose/

I did this so you can read previous posts and connect with members like @stparker54 @starko @miriam57 @odette @carole2022 @cctoo @smalayman4016 @drterry @egins1208 @chrissiebee and others.

From Mayo Clinic:
"Rising CA 125 levels MAY indicate that ovarian cancer has come back after treatment. Regular monitoring of CA 125 has NOT been shown to improve outcomes for those with ovarian cancer and may lead to additional and unnecessary rounds of chemotherapy or other treatments."

Usually further testing and monitoring are necessary to confirm what is going on. Has your oncologist suggested further testing?

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I see her on Monday I hope to have soon news of what my next step is.

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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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Profile picture for 1morgan @1morgan

two years ago was diagnosed with stage 4 ovarian cancer, went through surgery and then Chemo its been a year and 4month in remission. In Feb my CA 125 was 13.5 in March first week my numbers went up to 723. CT shows no signs of anything two weeks later my CA 773. Should I wait for signs or get a PET done? My doctor says we might just be treating a number.
any insite on this would be grateful

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Hi @1morgan, welcome. I moved your question about rising levels of CA 125 to this existing discussion:
- - CA-125 Results Went Up: Should I be concerned? https://connect.mayoclinic.org/discussion/ca-125-results-rose/

I did this so you can read previous posts and connect with members like @stparker54 @starko @miriam57 @odette @carole2022 @cctoo @smalayman4016 @drterry @egins1208 @chrissiebee and others.

From Mayo Clinic:
"Rising CA 125 levels MAY indicate that ovarian cancer has come back after treatment. Regular monitoring of CA 125 has NOT been shown to improve outcomes for those with ovarian cancer and may lead to additional and unnecessary rounds of chemotherapy or other treatments."

Usually further testing and monitoring are necessary to confirm what is going on. Has your oncologist suggested further testing?

REPLY

two years ago was diagnosed with stage 4 ovarian cancer, went through surgery and then Chemo its been a year and 4month in remission. In Feb my CA 125 was 13.5 in March first week my numbers went up to 723. CT shows no signs of anything two weeks later my CA 773. Should I wait for signs or get a PET done? My doctor says we might just be treating a number.
any insite on this would be grateful

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Profile picture for drterry @drterry

Oh my, I’m so sorry. Urachal Adenocarcinoma is from failure of the bladder to separate from umbilical cord in third trimester in utero. The tumor grew in a diverticulum. I just had surgery to remove the tumor and urachal tracts. There is no protocol its so rare. Praying for you. 🙏🏻🙏🏻🙏🏻

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Thank you for your prayers. My best to you.

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Profile picture for chrissiebee @chrissiebee

I have a rare bladder cancer also, high grade, but didn't invade the muscle. What treatment did you get for your cancer and did you have your bladder removed? My B.C. is a result of a lot of radiation and lymph node removal years ago for a metastasis on my colon & hip bone. The radiation saved my life but I'm now dealing with the effects of it. Thank you.

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Oh my, I’m so sorry. Urachal Adenocarcinoma is from failure of the bladder to separate from umbilical cord in third trimester in utero. The tumor grew in a diverticulum. I just had surgery to remove the tumor and urachal tracts. There is no protocol its so rare. Praying for you. 🙏🏻🙏🏻🙏🏻

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Profile picture for sherrill2023 @sherrill2023

Ovarian cancer starts in the fallopian tubes.

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I guess there are concerns about ovaries, fallopian tubes and peritonitum. 😔

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