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Cancer Ag 125
Short Description : CA-125


Plasma/Serum
Test performed by: LabPLUS Automation


Specimen Collection

Sample stability:

  • 8 hours at 20-25 o C
  • 5 days at 2-8 o C
  • 24 weeks at -20 o C


PST

4.5 mL PST Blood (Preferred)

Micro-PST

0.5 mL Paediatric Micro-PST Blood (Preferred)

Heparin

5 mL Heparin Blood

Plain

4 mL Plain Serum

SST

3.5 mL SST Blood

Microsample

0.5 mL Paediatric Microsample Serum

Micro-heparin

0.5 mL Paediatric Micro-heparin Blood
Reference Intervals

Units: U/mL

Reference interval: < 35

The sensitivity and specificity of the test depend on the cutoff level used.

Comparing ovarian carcinoma patients at diagnosis with patients with benign gynaecological diseases :

cutoff value sensitivity specificity

65 U/mL

79%

82%

150 U/mL

69%

93%

Uncertainty of Measurement: 6%



Turnaround Time: Within 3 hours
Assay Method

Principle : Electrochemiluminescence Immunoassay

Reagents: Roche Elecsys CA 125 II

Analyser: Cobas e801


Diagnostic Use and Interpretation

Monitoring the treatment and predicting recurrence of ovarian cancer.

Not all ovarian cancers express CA 125.

CA 125 is not suitable as a screening test for use in primary diagnosis of tumours.

CA 125 concentrations of up to 60 U/mL may occur during normal menstruation.

Elevated levels may occur in other malignancies, pregnancy, or less frequently in non-malignant conditions such as liver disease, endometriosis, ovarian cysts, and peritoneal trauma (laparotomy). Gastrointestinal, bronchial and breast carcinomas are occasionally associated with elevated CA 125.

The half life of CA 125 is 5 days.


Contact Information

The chemical pathology team can be reached via email: chemicalpathologist@adhb.govt.nz or via Lablink (09) 307 4949 ext 22000 or 09-3078995

Emails will receive priority attention from the on-call chemical pathologist. Include the patients NHI.

After-hours: contact Lablink (Auckland City Hospital ext. 22000 or 09-3078995) or hospital operator for on duty staff after hours .




Last updated at 11:42:03 16/01/2026