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Should be accompanied by a note saying something like "CA125 is increased in all cases of ascites. Level tends to be related to the degree of ascites. NOT diagnostic of Ovarian cancer"

I don't do it on patents with ascites 'cos it's meaningless (except as a measure of whether their ascites is getting better or worse).

Michael

-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of David Burgess
Sent: 18 July 2011 15:27
To: [log in to unmask]
Subject: CA125

May I ask your opinion.  A 50 y.o. woman, an inpatient on the gynae ward, bleeding p.v. and with ascites and hydronephrosis has a CA125  1500 kU/L (N<35). There are no previous measurements.   Should her results be accompanied by a cautionary note e.g. " may be raised in a number of benign conditions including endometriosis, inflammatory pelvic disease and acites"?  Also should her results be phoned to the ward?
Regards, David

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