
CA125 (Cancer Antigen 125)










A CA125 (Cancer Antigen 125) test measures the amount of protein CA125 (Cancer Antigen 125) in blood. It is a tumor marker used to monitor certain cancers (particularly ovarian cancer) during and after therapy. In some high-risk individuals, the test may be used to look for early signs of an ovarian tumor. Serial measurements help to detect cancer recurrence and predict response to therapy. This test is not considered useful for cancer detection screening in the normal population.













Understanding CA125 (Cancer Antigen 125)
CA125 is a protein found on the surface of ovaries, fallopian tubes, and body linings. High levels of CA125 in the blood might indicate ovarian cancer or other cancers like cervical, liver, pancreatic, lung, colon, stomach, biliary tract, uterine, fallopian tube, breast, and endometrial cancers. However, raised CA125 levels can also be caused by non-cancerous conditions such as menstruation, endometriosis, ovarian cysts, and pregnancy.
Your doctor may recommend this test if you experience symptoms suggestive of ovarian cancer, such as persistent abdominal or pelvic pain, bloating, difficulty eating, or urinary symptoms. It's also used to check for cancer recurrence or how well treatment is working in people with a history of ovarian cancer. Additionally, your doctor may recommend a CA125 (Cancer Antigen 125) test if you have risk factors such as increasing age, being overweight, having family members with cancer, or if you've never been pregnant.
Fasting is not needed to get a CA125 (Cancer Antigen 125) test done. However, talk to your doctor if you are taking any prescription medications or over-the-counter medications, as some of them may interfere with your test results. It is advisable not to get your test during menstruation or pregnancy as CA125 levels may show variations.
Test results may differ based on how the test is done. Values obtained with different methods cannot be used interchangeably for monitoring purposes. This test alone doesn't confirm or rule out cancer definitively because it can sometimes give wrong results, showing cancer when it's not there (false positives) or missing cancer when it is (false negatives). Therefore, talk to your doctor about your specific test results. Narrate your complete medical history to help them correlate your clinical and laboratory findings and formulate your treatment plan.
What does CA125 (Cancer Antigen 125) measure?
CA125 is a protein found in most ovarian cancer cells and some normal tissues. A CA125 (Cancer Antigen 125) test is commonly advised to detect ovarian cancer by measuring the amount of CA125 protein in the blood. A deranged level of CA125 antigen may indicate the presence of certain cancers, primarily ovarian cancer or other non-cancerous conditions, including endometriosis, pelvic inflammatory disease, ovarian cysts, etc.





FAQs related to CA125 (Cancer Antigen 125)
- What are the risk factors for ovarian cancer? [Internet]. CDC; 14 June 2023 [Accessed 22 Sept. 2023]. Available from:
- Risks and causes of ovarian cancer [Internet]. Cancer Research UK: 28 Feb. 2022 [Accessed 22 Sept. 2023]. Available from:
- Can Ovarian Cancer Be Prevented? [Internet]. American Cancer Society: 11 Apr. 2018 [Accessed 22 Sept. 2023]. Available from:
- Ovarian cancer causes [Internet]. NHS; 24 Jan. 2022 [Accessed 22 Sept. 2023]. Available from:
- Gandhi T, Zubair M, Bhatt H. Cancer Antigen 125 [Internet]. Treasure Island, Florida: StatPearls Publishing; 2023 Jan. [Accessed 22 Sept. 2023]. Available from:
- Charkhchi P, Cybulski C, Gronwald J, Wong FO, Narod SA, Akbari MR. CA125 and Ovarian Cancer: A Comprehensive Review. Cancers (Basel). 2020 Dec 11;12(12):3730. [Accessed 22 Sept. 2023]. Available from:
- Gupta D, Lis CG. Role of CA125 in predicting ovarian cancer survival - a review of the epidemiological literature. J Ovarian Res. 2009 Oct 9;2:13. [Accessed 22 Sept. 2023]. Available from:
- Scholler N, Urban N. CA125 in ovarian cancer. Biomark Med. 2007 Dec;1(4):513-23. [Accessed 22 Sept. 2023]. Available from:
- Funston G, Hamilton W, Abel G, Crosbie EJ, Rous B, Walter FM. The diagnostic performance of CA125 for the detection of ovarian and non-ovarian cancer in primary care: A population-based cohort study. PLoS Med. 2020 Oct 28;17(10):e1003295. [Accessed 22 Sept. 2023]. Available from:
- Badgwell D, Bast RC Jr. Early detection of ovarian cancer. Dis Markers. 2007;23(5-6):397-410. [Accessed 22 Sept. 2023]. Available from:
- Gandhi T, Zubair M, Bhatt H. Cancer Antigen 125 [Internet]. Treasure Island, Florida: StatPearls Publishing; 2023 Jan. [Accessed 22 Sept. 2023]. Available from:
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