HE4 blood test: hi all Has anyone had... - SHARE Ovarian Can...

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HE4 blood test

WildflowerTheWarrior profile image

hi all

Has anyone had the experience where your CA125 was within the normal range at the time of your diagnosis? Mine was 29 the night before my hysterectomy. That was in 2020 and the CA125 since then has been in the single digits even when it recurred in 2022. My June 2023 CT scan didn’t show evidence of the disease.

Doc is also using the HE4 as a marker. It’s 126 now. It’s been steadily climbing.

Does anyone have the HE-4 test done on a regular basis?

Thanks everyone Good Morning 💕

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WildflowerTheWarrior
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14 Replies
GwenHP profile image
GwenHP

While CA125 is a sensitive test for me, I've had several friends over the past 18 years that either never had an elevated CA125 or it never rose with a recurrence. It used to be they had to be followed with CT Scans. But for some people HE4 can be a good marker to follow in place of the CA125 test. It sounds like your cancer falls into this latter category. Like the CA125, its my understanding that what's more important in assessing whether or not you are recurring is the trend of your results as opposed to absolute values. Hopefully someone will reply that has direct experience in being followed with HE4. Best wishes to you! Gwen

delia2 profile image
delia2

Hi. I am a the same. CA 125 was 8 at diagnosis and 6 at first recurrence. It is a constant source of worry for me. I do have CT scans every six months. I asked my doctor if I could have HE 4 tests but she said they didn’t know enough about it.

WildflowerTheWarrior profile image
WildflowerTheWarrior in reply todelia2

Hmm maybe the HE4 isn’t very reliable either.

Mommashark6 profile image
Mommashark6 in reply todelia2

wow mine was at a 297 went down to 127 after surgery then a 8 after chemo now at a steady 6

Lizchips profile image
Lizchips

I was diagnosed in 2014 with clear cell carcinoma. My CA 125 wasn't taken but after surgery it was and it was an 8. It's been a 6 ever since. I've had no reoccurring cancer to date. The ca125 isn't the only marker other blood work can be an indication also. Hope this helps. My Dr also did intraperitoneal chemotherapy. It's supposed to stop reoccurring cancer. Or delays it. Best wishes, liz

Doggies221 profile image
Doggies221 in reply toLizchips

Hi Lizchips, if you don’t mind sharing, what stage CCC? So glad you’re doing well!

Catcher910 profile image
Catcher910

My doctor says CA-125 just isn’t a good indicator for some people, so it shouldn’t necessarily be relied on. I’ve never heard of the HE-4 marker but now I’m going to try to learn more about it.

Hi,I also have experienced a recurrence with ca 125 at 14 after 22 months in remission previously had been at 6 for over a year. I was fortunate that my monthly bloodwork was steady trending up for 5 months so Dr decided to do CT scan early. I had a 2nd debunking surgery and will do another 6 rounds of chemo. The number alone just isn't reliable. I also know that we have to pay close attention to changes in our body. Looking back I definitely wish I'd kept a diary there were some other signs that I had been 'hoping' were just normal stress stuff and I think I might have pushed for the scan sooner.

WildflowerTheWarrior profile image
WildflowerTheWarrior in reply toFaithbuilder2020

What were your symptoms that you thought were stress related?

Faithbuilder2020 profile image
Faithbuilder2020 in reply toWildflowerTheWarrior

I had weeks of constipation followed by days of diarrhea. I was extremely tired, and didn't get great sleep either. ( For context I teach in public school for a academic preschool program ) I was also taking lynpazara for maintenance and those are also side affects from that. I was pretty consistent in managing those with diet and mirlax. I also had an ostomy at one point so my guts are always a little different after those as well. But looking back I know it was a bigger swing in symptoms for longer than it should have been. I was spending hours a day in the bathroom.

WildflowerTheWarrior profile image
WildflowerTheWarrior in reply toFaithbuilder2020

I also had constipation and then diarrhea through this cancer. I feel for you. I found that if i take fiber capsules, it keeps me regular but diarrhea is an every day occurrence.

SerenitySF profile image
SerenitySF

I get monitored with CA125, HE4 and CEA. There was a scientific article that the combination of CA125 and HE 4 were much more predictable than CA125 alone and think it said that it was highly accurate. The HE4 came out of Washington state (woman scientist sorry don’t have details but it’s been about 12 years that I’ve been followed this way.

4Yoganana4 profile image
4Yoganana4

I have been doing the HE4 since diagnosis in 12-2019 on a regular basis. I had to fight for it a bit, but has proven to be a better tumor marker for me.

SerenitySF profile image
SerenitySF

Yes, I regularly get ca125, HE4 and CEA

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