1. Evaluation of the roma test for ovarian cancer diagnosis

Nguyen Trong Tue, Bui Van Hoang, Nguyen Thi Ngoc Lan

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Abstract

The CA125 and HE4 tests are the most commonly used in the diagnosis of ovarian cancer, with each playing a unique role in the diagnosis and treatment monitoring. ROMA test (Risk of Ovarian Malignancy Algorithm) is an algorithm-based test that combines the results of CA125 and HE4, along with menstrual status, to assess the possibility of ovarian cancer. In this study, we evaluated the effectiveness of the ROMA test in detecting ovarian cancer in women visiting Hanoi Medical University Hospital with ovarian tumors. We evaluate the ROMA value for the ability to detect ovarian cancer based on ultrasound results and pathology results. Data collected from 77 patients showed that the ROMA test results were able to classify patients as high-risk up to 83.3%, while the CA125 test alone was 66.6% or the HE4 test was 45.84%. Thus, the ROMA test has the ability to detect a higher risk of ovarian cancer than previous single-marker tests. This is a recommendation for doctors when they are ordering tests to diagnose ovarian cancer.

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References

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