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Old 01-10-2010, 01:47 PM   #1
fullofbeans
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Join Date: Jan 2007
Location: UK
Posts: 617
increased CA125 but not CA 15-3

Firstly happy 2010 to all and may we all fare well this year.

My tumour marker is for the first time over for the normal 35 i.e it is 46 for CA125 but not for the CA 15-3 i.e 14

Has anyone ever had false positive???? I think that the CA125 can be unreliable particularly for pre menauposal females but has it has been normal for 3 years..

I was increased when I was diagnosed but became normal ever since I was NED.

I am a bit anxious about it when I think about it, which I am trying to put aside..

I guess I just wanted to tell someone to because I do not want to worry friends and family until I get the next tumour marker results and see what it says.. that is it crying now..so fed up with the uncertainty..
__________________

35 y/o
June 06: BC stage I
Grade 3; ER/PR neg
Her-2+++; lumpectomies

Aug 06: Stage IV
liver mets: 6 tumours
July 06 to Jan 07: 2*FEC+6*Taxotere; 3*TACE; LITT
March 07- Sept 07: Vaccination trial (phase 2, peptide based) at the UW (Seattle).
Herceptin since 2006
NED til Oct 09
Recurrence Oct 2009: to internal mammary gland since October 2009 missed on Oct and March 2010 scan.. palpable nodes in May 2010 when I realised..
Nov 2011:7 mets to lungs progressing fast failed hercp/tykerb/xeloda combo..

superior vena cava blocked: stent but face remains puffy

April 2012: Teresa Trial, randomised to TDM1
Nov 2012 progressing on TDM1
Dec 2012 blockage of my airways by tumours, obliteration of these blocking tumours breathing better but hoping for more- at mo too many tumours to count in the lungs and nodes.

Dec 2012 Starting new trial S-222611 phase 1b dual egfr her2+ inhibitor.



'Under no circumstances should you lose hope..' Dalai Lama
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Old 01-10-2010, 02:24 PM   #2
Ellie F
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Re: increased CA125 but not CA 15-3

Hi
Have no words of wisdom for you but hopefully this will be just a blip. I think you have done well to get your onc to check these here in England as mine refused on the basis that he felt they were unreliable! When will they repeat the test?
Ellie
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Old 01-10-2010, 02:55 PM   #3
fullofbeans
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Re: increased CA125 but not CA 15-3

Hi Ellie, sorry to hear, or perhaps it is because my tumour markers have followed the tumour mass so well during treatment .. that said my onco beleive in their usefulness when these were elevated when tumour was there. I guess if result were negative when you had tumour it would be useless to have them checked.
__________________

35 y/o
June 06: BC stage I
Grade 3; ER/PR neg
Her-2+++; lumpectomies

Aug 06: Stage IV
liver mets: 6 tumours
July 06 to Jan 07: 2*FEC+6*Taxotere; 3*TACE; LITT
March 07- Sept 07: Vaccination trial (phase 2, peptide based) at the UW (Seattle).
Herceptin since 2006
NED til Oct 09
Recurrence Oct 2009: to internal mammary gland since October 2009 missed on Oct and March 2010 scan.. palpable nodes in May 2010 when I realised..
Nov 2011:7 mets to lungs progressing fast failed hercp/tykerb/xeloda combo..

superior vena cava blocked: stent but face remains puffy

April 2012: Teresa Trial, randomised to TDM1
Nov 2012 progressing on TDM1
Dec 2012 blockage of my airways by tumours, obliteration of these blocking tumours breathing better but hoping for more- at mo too many tumours to count in the lungs and nodes.

Dec 2012 Starting new trial S-222611 phase 1b dual egfr her2+ inhibitor.



'Under no circumstances should you lose hope..' Dalai Lama
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Old 01-10-2010, 06:54 PM   #4
Cal-Gal
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Re: increased CA125 but not CA 15-3

Hello full of beans--

So sorry you are dealing with this--

I too didnt tell anyone but the guys and gals on this board when they started going up--for fear my relatives and friends would think I was nuts!!!

I don't have any answers right now--but having my 1st PET this Tuesday since completing chemo--1/2 way done w/ Herceptin-- will have results Friday--my tumor markers were down after chemo and first few months of H--

BUT have been going mostly up--but still within range last few months--feeling crummy too--

I can repost if my rising markers are consistent w/any findings on PET this week on Friday---but boy I sure HOPE NOT!!!

Good Luck---
__________________
DX: 11/08 Age: 53
Surgery: 1/09
Bilat Mastectomy, no reconstruction
ILC-4 tumors-1.7 cm,1.5 cm (2).8 cm
DCIS-11 cm
All tumors Grade 3
All tumors ER-0%/PR-0%
All tumors HER2+
IHC-all tumors Overexpression/borderline
FISH 2 tumors Her2-Negative
FISH 2 tumors Her2+ Equivocal
Stage I, 0/1 nodes
LVI-Indeterminate(treated as positive)
SPR Score 8/9
Ki-67 20%
BRCA genetic test 1/2=negative
Chemo: 6 rounds TAC Feb-June 2009 w/Neulasta
Herceptin: 6/12/09-6/4/10 52weeks
HNPCC genetic test: negative
Port Placement-9/23/09 Port Removal 6/25/10
Echo's every 3 months-All normal
2/09 Staging PET/CT showed 0.2 micronodule upper R lobe-lung-Onc does not think this is mets--
6/5/09 AND 10/09 CT scan 0.2 micronodule unchanged
1/10-PET/CT-uptake in nasopharynx-
1/10-MRI All normal
6/10-Bone Scan-clear
12/10-PET/CT-All Clear-NED
12/11-PET-All Clear-NED

12/12-PET-All Clear-NED
12/13-CT w/contrast Head, Torso-All Clear
12/14-CT w/contrast Head-All Clear
2/15-Core needle biopsy-R scar line

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Old 01-10-2010, 07:45 PM   #5
Paty
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Re: increased CA125 but not CA 15-3

Hi full of beans,

I do not think you should worry till you talk to your doctor to see what further studies he/she recommends. Ca-125 is not a 100% reliable test and there are many factors that intervene to give you a false positive. Since this is a test for ovarian cancer, you may need to get other studies to determine what is your real status. Recommendations suggest to see a ginecologist-oncologist for an opinion, but before that see what your doctor recommends. I do not think that you should worry too much, but any way, check it as soon as you can.
__________________
Dx. June 30th, 2006 at age 43
Lumpectomy rt breast
2.2 cm tumor, 13 nodes all negative
ER-PR+,her2+++
6 FAC
32 Rads
Dx. Lung fibrosis due to radiation
Ended 1 year herceptin in March, 2008
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Old 01-10-2010, 08:07 PM   #6
Cannon
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Re: increased CA125 but not CA 15-3

CA-125 is very non-specific - just indicates inflammation in the abdomen somewhere - check it out, but may be completely unrelated.
"A number of benign conditions can cause elevations of the CA 125 level, including pregnancy, endometriosis, uterine fibroids (benign tumors), pancreatitis, normal menstruation, pelvic inflammatory disease, and liver disease. Benign tumors or cysts of the ovaries can also cause an abnormal test result. Increases can also be seen in cancers other than ovarian cancer, including malignancies of the uterine tubes, endometrium, lung, breast, pancreas, and gastrointestinal tract." (medicinenet.com)
__________________
Dx 8/06 Age 43 Stage IIIA multifocal throughout breast, largest tumor 5 cm, grade 3, comedo, ER+PR+HER+++
Neoadjuvant A/C 4X Dose Dense
11/06 Bilateral Mastectomy (no choice on the right, my choice on the left)
Taxol+Herceptin weekly x12, continuing with Herceptin, finished one year in 12/07
33 Rads
Femara for 5+ years, staying on (started with Arimidex, switched after about a month, much happier)
Abnormal brain MRI shows no cancer, but "extensive white matter diease" - unknown cause
BRCA negative - lots of cancer in my family
survivor of thyroid cancer
also have Crohn's disease
CT and bone scan say NED as of 5/13
dx with severe cardiomyopathy 5/12 (likely due to chemo and Herceptin), ejection fraction in low 20's, now up to 40, went to 50, latest read 12/13 is back down to 35
1/13 Acute pancreatitis - are you kidding me?
9/13 started Humira for Crohn's. starting to have some energy again
B12 and Vit D both needed supplementation
Cataracts in both eyes noted 6/12 - surgery in the next 2-4 years?
4/14 Kidney stones/blockage/infection - related to Crohn's Disease
5/14 My aunt passed away - she was diagnosed after I was with Stage I - not Her2+, then Stage 4 for about one year
6/14 Scans - still NED, thank God. However, broken rib (I didn't notice) lots of bone degeneration osteopenia/osteoporosis. I also still have cardiomyopathy secondary to chemo.
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Old 01-11-2010, 12:43 AM   #7
Lien
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Re: increased CA125 but not CA 15-3

I too was told that these markers can become elevated by infections. You could have a low grade infection without noticing it, which could cause those markers to rise. I know the waiting game is terrible, but it seems to me that it's quite likely to be false positive. Have the other stuff checked, though. See a gyn. That may set your mind at rest.

In the mean time:I have a trick that may help: Allow yourself to obsess about this 15 - 20 minutes each day at a specific time. When the fears pop up during the day, tell them to wait for their allotted time & go do something you enjoy. That way it won't take over your life. This may not work all the time, but even if it works for a while, the burden of fear will be diminished.

Hang in there!

Hugs

Jacqueline
__________________
Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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Old 01-11-2010, 04:27 AM   #8
Ellie F
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Re: increased CA125 but not CA 15-3

Hi Lien
That's a really good tip. I have been trying to have a 20 minute 'worry' time then put it to the back of my mind. It takes quite a bit of discipline but calms the anxiety down.
Ellie
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Old 01-11-2010, 05:18 AM   #9
Lien
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Smile Re: increased CA125 but not CA 15-3

Glad to hear it works for you! It worked for me too.

Love

Jacqueline
__________________
Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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Old 01-11-2010, 03:17 PM   #10
fullofbeans
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Re: increased CA125 but not CA 15-3

well I am obviously in my obssessing time right now, thanks all I will keep you posted.
__________________

35 y/o
June 06: BC stage I
Grade 3; ER/PR neg
Her-2+++; lumpectomies

Aug 06: Stage IV
liver mets: 6 tumours
July 06 to Jan 07: 2*FEC+6*Taxotere; 3*TACE; LITT
March 07- Sept 07: Vaccination trial (phase 2, peptide based) at the UW (Seattle).
Herceptin since 2006
NED til Oct 09
Recurrence Oct 2009: to internal mammary gland since October 2009 missed on Oct and March 2010 scan.. palpable nodes in May 2010 when I realised..
Nov 2011:7 mets to lungs progressing fast failed hercp/tykerb/xeloda combo..

superior vena cava blocked: stent but face remains puffy

April 2012: Teresa Trial, randomised to TDM1
Nov 2012 progressing on TDM1
Dec 2012 blockage of my airways by tumours, obliteration of these blocking tumours breathing better but hoping for more- at mo too many tumours to count in the lungs and nodes.

Dec 2012 Starting new trial S-222611 phase 1b dual egfr her2+ inhibitor.



'Under no circumstances should you lose hope..' Dalai Lama
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Old 01-11-2010, 03:58 PM   #11
Lien
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Re: increased CA125 but not CA 15-3

And how long did it last? ;-))) (the obsessing time, I mean)

Love

Jacqueline
__________________
Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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Old 01-12-2010, 08:04 AM   #12
fullofbeans
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Re: increased CA125 but not CA 15-3

obssessing time..well long enough to add another vit to my list of intake :-)

Phoned today the last marker showed that it had gone back to normal phew..phew phew..pheeeeewwwww

That said I realised looking at my blood work that since chemo I have had a chronic low red blood cell count and chronic low lymphocite and low creatinine too..ever since my 2006 chemo treatment and it never went back to what it was. the low rbc must explained why I fainted last november and have been really cold and unable to warm up ... I think I'll post this one for advice soon.
__________________

35 y/o
June 06: BC stage I
Grade 3; ER/PR neg
Her-2+++; lumpectomies

Aug 06: Stage IV
liver mets: 6 tumours
July 06 to Jan 07: 2*FEC+6*Taxotere; 3*TACE; LITT
March 07- Sept 07: Vaccination trial (phase 2, peptide based) at the UW (Seattle).
Herceptin since 2006
NED til Oct 09
Recurrence Oct 2009: to internal mammary gland since October 2009 missed on Oct and March 2010 scan.. palpable nodes in May 2010 when I realised..
Nov 2011:7 mets to lungs progressing fast failed hercp/tykerb/xeloda combo..

superior vena cava blocked: stent but face remains puffy

April 2012: Teresa Trial, randomised to TDM1
Nov 2012 progressing on TDM1
Dec 2012 blockage of my airways by tumours, obliteration of these blocking tumours breathing better but hoping for more- at mo too many tumours to count in the lungs and nodes.

Dec 2012 Starting new trial S-222611 phase 1b dual egfr her2+ inhibitor.



'Under no circumstances should you lose hope..' Dalai Lama
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Old 01-12-2010, 08:13 AM   #13
Lien
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Re: increased CA125 but not CA 15-3

Wow! Great News! And thanks for sharing it. We suffer most from the suffering we fear.

Now on to get thos blood counts up!

Hugs

Jacqueline
__________________
Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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Old 01-12-2010, 08:22 AM   #14
fullofbeans
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Re: increased CA125 but not CA 15-3

Thank you!!!!

but no I would not agree in this instance, I would suffer infinitely more from actual bad news.. but I agree that I see much suffering from stress and sometimes I still let myself taken by it too.. worrying when the odds are against you (I am stage 4) is natural tho scientific even..:-)
__________________

35 y/o
June 06: BC stage I
Grade 3; ER/PR neg
Her-2+++; lumpectomies

Aug 06: Stage IV
liver mets: 6 tumours
July 06 to Jan 07: 2*FEC+6*Taxotere; 3*TACE; LITT
March 07- Sept 07: Vaccination trial (phase 2, peptide based) at the UW (Seattle).
Herceptin since 2006
NED til Oct 09
Recurrence Oct 2009: to internal mammary gland since October 2009 missed on Oct and March 2010 scan.. palpable nodes in May 2010 when I realised..
Nov 2011:7 mets to lungs progressing fast failed hercp/tykerb/xeloda combo..

superior vena cava blocked: stent but face remains puffy

April 2012: Teresa Trial, randomised to TDM1
Nov 2012 progressing on TDM1
Dec 2012 blockage of my airways by tumours, obliteration of these blocking tumours breathing better but hoping for more- at mo too many tumours to count in the lungs and nodes.

Dec 2012 Starting new trial S-222611 phase 1b dual egfr her2+ inhibitor.



'Under no circumstances should you lose hope..' Dalai Lama
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Old 01-12-2010, 08:32 AM   #15
Lien
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Re: increased CA125 but not CA 15-3

You are right ofcourse; your fears are not at all unfounded. On the contrary. The odds are against you, for now. But it would be nice if more of the time you have now would be free of fear and worry. That's what I meant to say: if we manage to push the fears and anxiety back, we have better quality of life. It's not easy, though.

I have severe, quite debilitating sometimes, food allergies. I can obsess about something I may or may not have ingested accidentally. Some of my reactions are delayed up to 24 hrs. I sometimes spend those hours fearing the headache, migraine, stomach-ache, that never happens.

Hope you will be dancing with NED until a cure is found. Wouldn't that be wonderful and strange at the same time?

Love

Jacqueline
__________________
Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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Old 01-12-2010, 08:51 AM   #16
fullofbeans
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Re: increased CA125 but not CA 15-3

It would be indeed be wonderful to have access to the cure, when I say the word "cure" my heart just lighten simply hearing that word.

But I can assure you that despite odds I am most of the time simply not thinking about it at all. but yep when I am afraid or something or feel something it doe take over and hurt..

Some people prefer not to have their tumour markers done nor scan. I personally live better knowing.
__________________

35 y/o
June 06: BC stage I
Grade 3; ER/PR neg
Her-2+++; lumpectomies

Aug 06: Stage IV
liver mets: 6 tumours
July 06 to Jan 07: 2*FEC+6*Taxotere; 3*TACE; LITT
March 07- Sept 07: Vaccination trial (phase 2, peptide based) at the UW (Seattle).
Herceptin since 2006
NED til Oct 09
Recurrence Oct 2009: to internal mammary gland since October 2009 missed on Oct and March 2010 scan.. palpable nodes in May 2010 when I realised..
Nov 2011:7 mets to lungs progressing fast failed hercp/tykerb/xeloda combo..

superior vena cava blocked: stent but face remains puffy

April 2012: Teresa Trial, randomised to TDM1
Nov 2012 progressing on TDM1
Dec 2012 blockage of my airways by tumours, obliteration of these blocking tumours breathing better but hoping for more- at mo too many tumours to count in the lungs and nodes.

Dec 2012 Starting new trial S-222611 phase 1b dual egfr her2+ inhibitor.



'Under no circumstances should you lose hope..' Dalai Lama
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Old 01-12-2010, 08:54 AM   #17
fullofbeans
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Posts: 617
Re: increased CA125 but not CA 15-3

Also sorry to hear about you food allergy, that must be really restricting to be that sensitive, an attack on your freedom I suppose.
__________________

35 y/o
June 06: BC stage I
Grade 3; ER/PR neg
Her-2+++; lumpectomies

Aug 06: Stage IV
liver mets: 6 tumours
July 06 to Jan 07: 2*FEC+6*Taxotere; 3*TACE; LITT
March 07- Sept 07: Vaccination trial (phase 2, peptide based) at the UW (Seattle).
Herceptin since 2006
NED til Oct 09
Recurrence Oct 2009: to internal mammary gland since October 2009 missed on Oct and March 2010 scan.. palpable nodes in May 2010 when I realised..
Nov 2011:7 mets to lungs progressing fast failed hercp/tykerb/xeloda combo..

superior vena cava blocked: stent but face remains puffy

April 2012: Teresa Trial, randomised to TDM1
Nov 2012 progressing on TDM1
Dec 2012 blockage of my airways by tumours, obliteration of these blocking tumours breathing better but hoping for more- at mo too many tumours to count in the lungs and nodes.

Dec 2012 Starting new trial S-222611 phase 1b dual egfr her2+ inhibitor.



'Under no circumstances should you lose hope..' Dalai Lama
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Old 01-12-2010, 09:57 AM   #18
Lien
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Re: increased CA125 but not CA 15-3

It's doable, but sometimes I feel like I'm getting the flu for days or weeks on end. I hate that. Most of the time I do ok and now that it's freezing here in the Netherlands, I feel much better. Fewer airborne allergens make me less sensitive to foods. Fortunately I like to cook and have become very creative. Make everything from scratch, so it's very healthy too.

I can see how those scans and tests can set your mind at ease. Until the next one. But it beats never knowing where you stand. I would go for the tests too, I think, if I were stage IV.

Love

Jacqueline
__________________
Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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