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RANSOM ADNEXAL LESION WORKSHEET Consent for Slate Allergy: No Patient Name ___ MAN ___ Accession ___ Date ___ Age ___ LMP ___ Postmenopausal ___(yrs) Indication ___ Labs CA125 ___ BCG ___ WBC ___History/Symptoms
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Serum HE4 (Human Epididymis Protein 4) is a protein that is used as a tumor marker in the diagnosis and monitoring of ovarian cancer. It helps in assessing the likelihood of malignant tumors in women who present with pelvic masses.
Healthcare providers, such as physicians and oncologists, are required to file serum HE4 results and diagnosis as part of the diagnostic process for patients suspected of having ovarian cancer.
To fill out the serum HE4 and diagnosis forms, healthcare providers should ensure that they include patient identification information, test results, clinical impressions, and any other relevant medical history before submission.
The purpose of serum HE4 testing is to aid in the diagnosis of ovarian cancer, to distinguish between benign and malignant pelvic masses, and to monitor patients for recurrence of cancer after treatment.
The reported information must include the patient's name and identification number, test results including HE4 levels, date of testing, clinical history, and any interpretations made by the healthcare provider.
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