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CA15.3

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CA 15-3 is a glycoprotein antigen shed by breast cancer cells, particularly in invasive ductal carcinoma

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🧪 CA 15-3 – Cancer Antigen 15-3

Parameter

Details

Full Name

Cancer Antigen 15-3

Sample Type

Blood (serum)

Fasting Required

❌ Not required

Test Category

Tumor marker

Primary Organs

Breast tissue

Main Use

Monitoring breast cancer, especially metastatic or recurrent cases

🔬 What is CA 15-3?

CA 15-3 is a glycoprotein antigen shed by breast cancer cells, particularly in invasive ductal carcinoma. It is not useful for early detection but is valuable for:

  • Monitoring treatment response
  • Detecting recurrence
  • Assessing tumor burden

📈 Normal & Elevated Levels

CA 15-3 Level (U/mL)

Interpretation

<30 U/mL

✅ Normal

30–100 U/mL

Possible benign or early malignancy

>100 U/mL

Suggestive of advanced or metastatic breast cancer

>300 U/mL

Often seen in widespread metastases

Note: Not all breast cancer patients have elevated CA 15-3, especially in early stages.

🩺 When is CA 15-3 Ordered?

Clinical Use

Purpose

🧬 Monitor breast cancer

Track treatment effectiveness or recurrence

📈 Assess metastatic progression

Rising values may indicate spread to liver, lungs, bones

🩻 Aid in staging and follow-up

Especially in late-stage or recurrent disease

🧪 Not for screening

Limited utility in early detection or general population

🔁 Tests Commonly Ordered With CA 15-3

Test

Why?

CEA (Carcinoembryonic Antigen)

Broader cancer marker to increase diagnostic accuracy

CA 27.29

Similar marker, often interchangeable with CA 15-3

CA 125

If ovarian or mixed cancer origin is suspected

Imaging (PET, CT, Bone Scan)

To detect metastasis if CA 15-3 is elevated

Hormone Receptor Tests (ER, PR, HER2)

Guide treatment decisions

❗ Benign Conditions That May Elevate CA 15-3

Condition

Explanation

Benign breast disease

Fibroadenomas, cysts

Hepatitis or liver cirrhosis

Due to delayed antigen clearance

Tuberculosis or sarcoidosis

Inflammatory disorders can lead to mild elevation

Pregnancy and lactation

Mild physiological increases possible

📋 Summary Table

Test

CA 15-3 (Cancer Antigen 15-3)

Sample

Blood (serum)

Fasting Required

No

Normal Range

0–30 U/mL

High Levels Indicate

Advanced breast cancer or metastasis (lungs, liver, bones)

Best Use

Monitoring disease progression and therapy response

Not Ideal For

Screening or early diagnosis

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