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. 2011 Aug 24;32(6):1087–1095. doi: 10.1007/s13277-011-0204-3

Table 4.

Evaluation of CA 125 and ROMA efficiency in the diagnosis of ovarian cancer (excluding other gynaecological malignancies) according to HE4 results (> or <150 pmol/L)

PPV PPV in premenopausal women PPV in postmenopausal women
HE4 >150 pmol/L CA 125+ ROMA+ 75/77 (97.4%) 13/13 (100%) 62/64 (96.9%)
CA 125− ROMA+ 13/13 (100%) 4/4 (100%) 9/9 (100%)
CA 125+ ROMA−
CA 125− ROMA− 0/1 (0%) 0/1 (0%)
HE4 <150 pmol/L CA 125+ ROMA+ 12/22 (54.5%) 3/8 (37.5%) 9/14 (64.3%)
CA 125− ROMA + 0/23 (0%) 0/20 (0%) 0/3 (0%)
CA 125+ ROMA− 5/76 (6.6%) 4/69 (5.8%) 1/7 (14.3%)
CA 125− ROMA− 6/184 (3.3%) 3/139 (2.2%) 3/45 (6.7%)

PPV positive predictive value