Significance of serum Her-2/neu oncoprotein, CA 15-3, and CEA in the clinical evaluation of metastatic breast cancer

Ann M. Dnistrian, Morton K. Schwartz, Delia C. Schwartz, Farooq Ghani, Linda Kish

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

Serum Her-2/neu, CA 15-3 and CEA levels were measured in serial specimens from 54 women undergoing Herceptin® therapy for metastatic breast cancer. Tumor marker assays were performed on the Bayer Immuno 1® System, a random access automated immunochemistry analyzer. The upper limit of normal for serum Her-2/neu (15 ng/mL) was based on results obtained for 120 apparently healthy women, whereas reference values for CA 15-3 and CEA were conventional cutoff levels of 36 U/mL and 5 ng/mL, respectively. All patients had primary breast cancers that overexpressed tissue Her-2/neu by immunohistochemical technique. Pretreatment values of serum Her-2/neu were elevated in 36 patients (67%), CA 15-3 was elevated in 29 (54%), while CEA was abnormal in 23 (43%). When data for serum Her-2/neu and CA 15-3 were combined, the sensitivity for monitoring increased to 76%. Results for serum Her-2/neu may have significant predictive therapeutic implications; our data suggest that patients with abnormal pre-treatment serum Her-2/neu levels are more likely to respond to Herceptin therapy (83% response rate).

Original languageEnglish
Pages (from-to)215-220
Number of pages6
JournalJournal of Clinical Ligand Assay
Volume25
Issue number2
Publication statusPublished - Jun 2002
Externally publishedYes

Fingerprint

Dive into the research topics of 'Significance of serum Her-2/neu oncoprotein, CA 15-3, and CEA in the clinical evaluation of metastatic breast cancer'. Together they form a unique fingerprint.

Cite this