They usually don't use the ca15-3 test unless you have mestatic cancer as it is a highly inaccurate blood test that actually very rarely picks up development of metastatic disease. The level can go up with simple things like a cold symptom. If it was accurate we'd all be doing them with annual breastscreen as an early surveillance /detection tool.
Even for women with mets its not accurate. Showing low when mets are progressing and high when stable. So go figure why they use it at all really. But presently it's all they've got I suppose.