CA 125




Test Mnemonic

CA125

CPT Codes

  • 86304 - QTY (1)

LOINC ®

10334-1

Aliases

  • Cancer Antigen 125
  • Carbohydrate Antigen 125

Performing Laboratory

Cleveland Clinic Laboratories


Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1 mLPlasmaLithium heparin PST (Lt. Green) Refrigerated 

Alternate Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1 mLSerumSST (Gold) Refrigerated 

Minimum Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
0.5 mL     

Stability

Environmental Condition Description
Ambient8 hours
Refrigerated5 days
Frozen24 weeks

Days Performed

Sun - Sat

Turnaround Time

8 hours

Methodology

Name Description
Electro Chemiluminescence Immunoassay (ECLIA) 

Reference Range

CA 125
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormal<39U/mL

Special Info

CA 125 test methodology used is the Electrochemiluminescence Immunoassay by Roche Diagnostics. Results obtained with different methods or kits cannot be used interchangeably. The reference interval is based on the 95th percentile of 240 apparently healthy premenopausal and postmenopausal women. At a cutoff value of 65 U/mL, the test sensitivity to distinguish ovarian carcinoma (FIGO stage I to IV) versus benign gynecological disease is 79%, with a specificity of 82%. Reference: Cancer Antigen 125 (CA 125 II) [package insert V 1.0 English]. Roche Diagnostics, Indianapolis, IN; October 2015 Patients taking a biotin dose of up to 5 mg/day should refrain from taking biotin for 4 hours prior to sample collection. Patients taking a biotin dose of 5 to 10 mg/day should refrain from taking biotin for 8 hours prior to sample collection. Patients taking a biotin dose > 10 mg/day should consult with their physician or the laboratory prior to having a sample taken. Clinicians should consider biotin interference as a source of error, when clinically suspicious of the laboratory result.

Clinical Info

Evaluation of ovarian cancer management