To evaluate the utility of CA 15.3 in detecting breast cancer relapse
before clinical evidence of metastatic disease, serial determinations
of CA 15.3 serum levels were made in 444 disease-free patients after s
urgery, during 36 months of follow-up. The results were compared with
carcinoembryonic antigen (CEA) and tissue polypeptide antigen (TPA). T
he study found CA 15.3 to be more sensitive as an early indicator of r
elapse than CEA or TPA; moreover, simultaneous determination of the ot
her markers offers no information additional to that obtained by CA 15
.3 alone.