Is HE4 Superior over CA-125 in the Follow-up of Patients with Epithelial Ovarian Cancer?

Author:

El Bairi Khalid1ORCID,Afqir Said1,Amrani Mariam2

Affiliation:

1. Faculty of Medicine and Pharmacy, Mohamed Ist University, Oujda, Morocco

2. Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco

Abstract

Notwithstanding important advances in the treatment of epithelial ovarian cancer (EOC), this disease is still a leading cause of global high mortality from gynecological malignancies. Recurrence in EOC is inevitable and it is responsible for poor survival rates. There is a critical need for novel effective biomarkers with improved accuracy compared to the standard carbohydrate antigen-125 (CA-125) for follow-up. The human epididymis protein 4 (HE4) is used for early detection of EOC (ROMA algorithm) as well as for predicting optimal cytoreduction after neoadjuvant chemotherapy and survival outcomes. Notably, the emerging HE4 is a promising prognostic biomarker that has displayed better accuracy in various recent studies for detecting recurrent disease. In this mini-review, we discussed the potential of HE4 as an accurate predictor of EOC recurrence.

Publisher

Bentham Science Publishers Ltd.

Subject

Clinical Biochemistry,Drug Discovery,Pharmacology,Molecular Medicine

Reference71 articles.

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