.

L07 - JSS Hospital

# 4, Mahatma Gandhi Road Mysore -
Karnataka, Pin - 570004

Name : Mrs. RAMYA 271405 Collected : 1/3/2019 1:41:00PM

Received : 1/3/2019 2:01:25PM
Lab No. : 140927586 Age: 23 Years Gender: Female Reported : 4/3/2019 11:37:46AM
A/c Status : P Ref By : Dr. SUMA.K.B Report Status : Final

Test Name Results Units Bio. Ref. Interval

ROMA (RISK OF OVARIAN MALIGNANCY), SERUM @

(CMIA)

HE4 55.30 pmol/L

ROMA
ROMA (Premenopausal) 9.64 % <7.40

ROMA (Post menopausal) 19.05 % <25.30

CA 125 29.2 U/mL <35.00

Interpretation
----------------------------------------------------------
| MENOPAUSAL STATUS | REFERENCE RANGE OF HE4 IN pmol/L |
|-----------------------|----------------------------------|
| Premenopausal females | <70 |
|-----------------------|----------------------------------|
| Postmenopausal females| <140 |
----------------------------------------------------------

-----------------------------------------------------------------------
| MENOPAUSAL STATUS |ROMA IN % | RISK OF EPITHELIAL OVARIAN CANCER |
|-----------------------|----------|------------------------------------|
| Premenopausal females | <7.4 | Low risk |
| | >=7.4 | High risk |
|-----------------------|----------|------------------------------------|
| Postmenopausal females| <25.3 | Low risk |
| | >=25.3 | High risk |
----------------------------------------------------------------------

Note
1. This assay is intended for use in women who are >18 years of age, have an ovarian mass with
planned surgery and not yet referred to an oncologist.
2. The test should not be used in women with Rheumatoid factor concentration >250 IU/mL, patients
previously treated for malignancy or presently on chemotherapy.
3. This assay is not intended to be used as a screening test to determine requirement of surgery in a
patient.
4. All results should be correlated with clinical / radiological evaluation.

Comments
Risk of ovarian malignancy algorithm (ROMA) should be used as a supplement to the standard pre-surgical
evaluation of a patient to assess likelihood of malignancy prior to surgery specially in those cases where

PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)

*140927586* Page 1 of 2
.

L07 - JSS Hospital

# 4, Mahatma Gandhi Road Mysore -
Karnataka, Pin - 570004

Name : Mrs. RAMYA 271405 Collected : 1/3/2019 1:41:00PM

Received : 1/3/2019 2:01:25PM
Lab No. : 140927586 Age: 23 Years Gender: Female Reported : 4/3/2019 11:37:46AM
A/c Status : P Ref By : Dr. SUMA.K.B Report Status : Final

Test Name Results Units Bio. Ref. Interval

presurgical evaluation does not indicate malignancy. Use of CA 125, HE4 & menopausal status to generate a
numerical score helps in correlating likelihood of malignancy at the time of surgery in a patient presenting with
adnexal mass.

Dr Himangshu Mazumdar Dr Nimmi Kansal

MD, Biochemistry MD, Biochemistry
Consultant Biochemist National Head - Clinical Chemistry &
NRL - Dr Lal PathLabs Ltd Biochemical Genetics
NRL - Dr Lal PathLabs Ltd
-------------------------------End of report --------------------------------

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PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)

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