Cancer Antigen 15-3 (CA 15-3)

CA 15-3 (synonym: cancer antigen 15-3) is a so-called tumor marker.Tumor markers are endogenous substances that are produced by tumors and are detectable in the blood. They can provide an indication of a malignant (malignant) neoplasm and serve as a follow-up test in the context of cancer aftercare.

The procedure

Material needed

  • Blood serum

Preparation of the patient

  • Not necessary

Disruptive factors

  • None known

Normal value

Normal value <31 U/ml

Indications

  • Therapy and follow-up of mammary carcinoma (breast cancer).
    • CA 15-3 often indicates recurrence (recurrence of a tumor) before it becomes clinically apparent

Interpretation

Interpretation of increased values

  • Breast carcinoma (breast cancer; detectable in 30-90% of cases).
  • Ovarian carcinoma (ovarian cancer; detectable in 40-70% of cases).
  • Bronchial carcinoma (lung cancer; detectable in 10-70% of cases).
  • Endometrial carcinoma (cancer of the uterus)
  • Pancreatic carcinoma (pancreatic cancer; detectable in 40-60% of cases).

Slightly elevated in

  • Mastopathy – benign mammary gland disease caused by changes in breast tissue.
  • Fibroadenoma – benign tumor of the breast.
  • HIV infection
  • Hepatopathies (liver diseases) such as hepatitis (inflammation of the liver) or cirrhosis (connective tissue remodeling of the liver with accompanying functional impairment)
  • Renal insufficiency – increasing functional impairment of the kidneys.
  • Pancreatic diseases such as pancreatitis (inflammation of the pancreas).
  • Pregnancy – in the third trimester (third trimester).
  • Tuberculosis (consumption)

Interpretation of lowered values

  • No diagnostic significance

Further notes

  • When determining tumor markers because of suspected mammary carcinoma (breast cancer), the tumor marker CEA should also be determined. This procedure improves the sensitivity of detection to over 90%.
  • In benign (benign) disease, Ca 15-3 usually does not exceed 35 U/l.