Lowered serum concentrations of albumin, IgG, IgM, and transferrin have been identified preopera-tively in a population of otherwise healthy white women over age 40 with early stage breast cancer. Definition of low values for each of the four serum proteins has been arrived at via comparison with age-matched controls, consisting of disease-free women and women with benign breast lesions. Thus defined, low values for the individual serum proteins have been found to occur in malignantlcontrol study subjects at the following frequencies: albumin 68%/4.7% (P < 0.OOOl); IgG 56%/21% (P < 0.02); IgM SWi/19% (P < 0.001), and transferrin 50%/4.7% (P < 0.OOOl). Among the relevant historical and pathologic data evaluated in addition to the presence or absence of malignancy, only age has been found significant in influencing serum protein concentrations, and this has been taken into account in analyzing results. Forty-four percent of study sujects subsequently found to have breast cancer have low concentrations of at least three of the four discriminant proteins simqltaneously in the pre-operative sample. None of the contrsls have these findings. Twenty-nine percent of women with a malignant breqt lesion and WO of controls have simultaneously low concentrations of two of the four discriminant proteins. Using these measurements of serum proteins it thus becomes possible to assign risk of malignancy when a woman is found to have a breast mass. Cancer 48:793-798, 1981. NE OF THE SIGNIFICANT recent advances in can-0 cer diagnosis has been the discovery of several soluble tumor-associated proteins which can be assayed in serum. Carcinoembryonic antigen, the first among these to find clinical application, is now recognized as lacking specificity for diagnosing gastrointes-tinal tumors.' Alpha-fetoprotein demonstrates better specificity for hepatomas and germ cell tumors, a relatively uncommon group of malignancies in the United States. Human chorionic gonadotropin falls into a similar category.2 Breast cancer is one of the tumors for which no specific circulating protein has yet been found.3 As an alternate path of study, a number of investigators have measured normally occurring, nonspecific serum proteins in breast cancer patients. To date, these studies have produced inconclusive ~esults,4-~O possibly because clinical parameters have been insufficiently documented and methodology has been relatively imprecise. The present report continues along this line of investigation, utilizing more precise methodology both for the laboratory and for clinical data