HE4, Ovarian Cancer Monitoring

Overview

  • EPIC Code:
  • Soft Test Code:
  • MSOT
  • Send Out Test Code:
  • 16500
Alternate Names
  • Human Epididymis Protein 4
Clinical Significance

The percentage increase in HE4 values has been used as an aid in monitoring recurrence or progressive disease in patients with invasive epithelial ovarian cancer. Currently there is no clinically accepted cut-off for use in monitoring cancer progression in epithelial ovarian cancer subjects with this assay. Serial testing for patient HE4 assay values should be used in conjunction with methods used for monitoring ovarian cancer.


Specimen Collection & Preparation

Specimen Requirements

1.0 mL Serum from a Red Top Tube in a Plastic Vial


Transport And Storage

48 hours Ambient
72 hours Refrigerated
28 days Frozen


Collection Instructions

Sample collected must be allowed to clot for at least 30 minutes but no longer than 1 hour


Minimum Volume

0.3 mL Serum


Neonatal Volume

Clinical Interpretation

Reference Range:

Female Premenopausal ≤70 pmol/L
Female Postmenopausal ≤140 pmol/L


Test Comments:

Limitations: A clinical study indicated that serial HE4 levels correlated with clinical status (progression vs. no progression) in 70% (247/354) of the study participants.


Methodology:
  • Chemiluminescent Microparticle Immunoassay (CMIA)
Clinical Significance

The percentage increase in HE4 values has been used as an aid in monitoring recurrence or progressive disease in patients with invasive epithelial ovarian cancer. Currently there is no clinically accepted cut-off for use in monitoring cancer progression in epithelial ovarian cancer subjects with this assay. Serial testing for patient HE4 assay values should be used in conjunction with methods used for monitoring ovarian cancer.


Production Schedule

Sites Performed
  • Quest - Chantilly to San Juan Capistrano
Days Performed
Monday
Wednesday
Friday
Departments
  • Sendouts - Miscellaneous
Turn Around Time

3 to 6 days


Coding & Compliance

CDM

00913333


CPT Coding

86305