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Table 5 Comparison of ROC–AUCs, sensitivity and specificity for ROMA, CA125 (U/ml) and HE4 (pM), discriminating malignant including borderline tumors from benign tumors

From: High preoperative blood levels of HE4 predicts poor prognosis in patients with ovarian cancer

 

Premenopausal^

n= 123

 

Premenopausal^

  
 

AUC

95% CI

n= 123

cutoff

sens (%)

spec (%)

HE4

0,73

0,58-0,87

ROMA

4,6%

82

75

CA125

0,82

0,73-0,92

CA125

35

59

68

ROMA

0,73

0,58-0,88

HE4

39

82

75

   

HE4

60

59

77

   

HE4

70

41

89

 

Postmenopausal^^

n= 154

 

Postmenopausal^^

  
 

AUC

95% CI

n= 154

cutoff

sens (%)

spec (%)

HE4

0,91

0,87-0,96

ROMA

10,4%

99

75

CA125

0,91

0,87-0,96

CA125

35

82

84

ROMA

0,94

0,90-0,98

HE4

70

90

75

   

HE4

100

80

86

   

HE4

120

72

91

  1. ^Premenopausal = women < 50 year of age.
  2. ^^Postmenopausal = women > 54 year of age.
  3. ROMA cut-off set at fixed specificity 75% as recommended by Moore et al. 2009 among patients with all types and stages of ovarian tumours.