What level of CA 125 indicates cancer?

CA-125 normal range
The range of 0 to 35 U/mL is considered within the normal guidelines. Levels over 35 U/mL may indicate the presence of cancer or other conditions. Not all patients with a high CA-125 result have cancer. For women with no ovarian cancer history, a high result usually leads to additional testing.
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What is an abnormal CA 125 level?

If your CA 125 level is higher than expected, you may have a condition that isn't cancerous, or the test result could mean that you have ovarian, endometrial, peritoneal or fallopian tube cancer. Your provider may recommend other tests and procedures to determine your diagnosis.
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How high is CA 125 ovarian cancer?

Cancer antigen 125 (CA 125) is the only tumor marker recommended for clinical use in the diagnosis and management of ovarian cancer. The reference range of CA 125 is 0-35 units/mL (0-35 kU/L).
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How do you read CA 125 results?

How do I interpret my test results for certain types of ovarian cancer? The normal range of a CA 125 is less than 35. If your CA 125 is higher than 35, your doctor will consider your symptoms, the results from your scans (such as CT scan) if you had them done and your clinic examination.
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What is a high tumor marker number?

Normal range may vary somewhat depending on the brand of assay used. Levels > 10 ng/ml suggest extensive disease and levels > 20 ng/ml suggest metastatic disease.
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Understanding CA-125 Screening for Ovarian Cancer



Can CA 125 go up and down?

So, CA 125 values can and do fluctuate. Major treatment decisions, such as changing or discontinuing treatment, depend on multiple factors that you and your physician will consider. The trend in your CA 125 values is only one of these factors.
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What blood test shows ovarian cancer?

Screening tests for ovarian cancer

The 2 tests used most often (in addition to a complete pelvic exam) to screen for ovarian cancer are transvaginal ultrasound (TVUS) and the CA-125 blood test.
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What is the lowest CA-125 level?

The normal range for CA 125 is 0 to 35 units/ml. While a CA 125 level over 35 may indicate cancer, it does not always mean the person has cancer.
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What were your early symptoms of ovarian cancer?

11 Early signs of ovarian cancer
  • Constant discomfort in the lower abdomen.
  • Persistent stomach bloating.
  • An enlarged abdomen or a lump felt on lying down.
  • Difficulty eating and feeling full quickly.
  • Frequent urination.
  • Constipation and other digestive changes.
  • Difficulty breathing.
  • Low fever.
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How can I lower my CA-125?

However, there are some lifestyle factors you can control to decrease your risk of ovarian cancer.
  1. Exercise and Diet. By maintaining a weekly exercise regime and a healthy diet, the risk of ovarian cancer decreases. ...
  2. Oral Contraceptives. ...
  3. Avoiding Carcinogens. ...
  4. Pregnancy & Breastfeeding. ...
  5. Healthy Lifestyle.
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Is CA-125 curable?

When diagnosed in Stage I, however, the cure rate can approach 90% with currently available cytoreductive surgery and combination chemotherapy [7]. Ovarian cancer remains a disease that proves fatal to the majority of patients, but where chemotherapy has been established as a treatment that improves survival.
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How accurate is CA-125 blood test?

Results: Using a CA125 cutoff of 30 U/mL, an overall sensitivity of 94.8% (96.6% specificity) was obtained when comparing malignancies versus healthy postmenopausal controls, whereas a cutoff of 65 U/mL provided a sensitivity of 83.9% (99.6% specificity).
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What kind of leg pain is associated with ovarian cancer?

“Ovarian cancers can secondarily cause leg pain in a number of conditions, but the first thing I would say is the likely cause of leg pain would be arthritis or other musculoskeletal issues. It might occur, for example, if someone needs a knee replacement or if they had an old injury.”
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Where do you feel ovarian cancer pain?

Symptoms of ovarian cancer may appear in the early stages, but they often do not appear until later. They include bloating, pain in the lower back, pelvis, and abdomen, and an increased need to urinate.
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Can ovarian cancer be seen on ultrasound?

Ultrasound is often the first test done if a problem with the ovaries is suspected. It can be used to find an ovarian tumor and to check if it is a solid mass (tumor) or a fluid-filled cyst. It can also be used to get a better look at the ovary to see how big it is and how it looks inside.
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What is a good CA 125 number?

Generally speaking, the normal range of CA-125 is considered to be 0-35 units/mL, while a level above 35 units/mL is considered to be a high CA-125 level.
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What is the highest CA 125 level?

High levels of CA 125 (from 125 to 10.000 U/ml and higher) were revealed in 54 from 57 patients (94.7%) with malignant ovarian tumors.
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What level of CA 125 indicates endometriosis?

The mean serum CA-125 level of women with endometriosis was 49.93±4.30 U/mL (range, 2-191 U/mL) in this study. Amara and colleagues found that CA-125 serum levels were higher in endometriosis patients when compared to control group during both periods of menstrual cycle (13).
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Is WBC high with ovarian cancer?

White Blood Cells Found in High Grade Ovarian Cancer May Point to Survival Outcomes. (October 20, 2017) An international, large scale study may have found a link between high-grade ovarian cancer and a type of white blood cell known as a tumor-infiltrating lymphocyte.
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Is CA-125 only for ovarian cancer?

While women with ovarian cancer often have an elevated level of CA 125 , an elevated CA 125 level doesn't always mean you have ovarian cancer. Some women with ovarian cancer never have an elevated CA 125 level.
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Can ovarian cysts cause elevated CA-125?

Elevated CA-125 (a protein in the blood that's associated with ovarian cancer) is most often caused by common, ordinary or benign conditions such as uterine fibroids, ovarian cysts, endometriosis — or even just having your period.
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Can Covid increase CA125?

Recently, one retrospective study found that among all admitted patients with coronavirus disease 2019 (COVID-19) infection, increases in CA 125 and other cancer biomarkers were associated with severe COVID-19 infection (Wei et al., 2020).
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How fast does CA 125 increase?

The average time from serum CA125 increase to detection of a recurrent lesion by physical or imaging examination was about 3 months. It is not recommend chemotherapy when patients serum CA125 increased alone after post-treatment.
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How much do fibroids elevate CA 125?

An increase in CA125 levels was found in 20% of patients with leiomyoma. The mean CA125 level of the patients was 27.3 ± 38.1 U/mL. They found that the factors related to higher levels of CA125 in patients with leiomyoma were larger size (≥ 5 cm), subserosal location, and co-existence with adenomyosis.
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Where is the first place ovarian cancer spreads to?

Where does ovarian cancer spread first? There is no single trajectory for where ovarian cancer will spread; however, if not caught in early stages, most cases of ovarian cancer will follow a similar path: from the pelvis, to more distant parts of the abdomen and peritoneal cavity, to the lymph nodes, and the liver.
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