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HE4 (Human Epididymal Protein 4) Unit Converter

HE4 (Human Epididymal Protein 4) is a protease inhibitor protein whose expression is significantly elevated and thought to promote tumor growth in various epithelial cancers, most notably ovarian cancer. HE4 is minimally expressed in healthy tissues.

Clinically, HE4 is a key tumor marker used in the ROMA (Risk of Ovarian Malignancy Algorithm), often measured alongside CA 125, for the risk stratification of women presenting with a pelvic mass. Unlike CA 125, HE4 is less frequently elevated in benign gynecological conditions (like endometriosis), increasing specificity. Results are reported in molar concentration (pmol/L) or mass concentration (ng/mL).

SI Units / Molar

Recommended

Picomoles per liter (Standard International).

Mass Equivalents

Clinical Context

Reference Ranges (Typical):
Premenopausal: < 70 pmol/L
Postmenopausal: < 140 pmol/L

HE4 is interpreted in conjunction with CA 125 and clinical findings, frequently via the ROMA score, to estimate the risk of epithelial ovarian cancer in women with a pelvic mass. Elevated HE4 increases the likelihood of malignancy but is not diagnostic on its own. The molar conversion factor relies on an approximate molecular weight of 25 kDa: 1 ng/mL ≈ 40 pmol/L.

Clinical References

How to Use This Calculator

Follow these steps to get accurate clinical conversions instantly.

1

Enter Values

Input your laboratory results into the corresponding unit field (e.g., ng/mL). You can use either dot or comma decimals.

2

Automatic Conversion

The calculator works in real-time. As you type in one field, all other units (like pmol/L) are instantly updated.

3

Verify Units

Check the SI Units section. pmol/L is the international standard for protein tumor markers.

4

Reset

Use the Clear button to reset all fields before starting a new calculation.

? Frequently Asked Questions & Tips
Is ng/mL the same as µg/L?

Yes. 1 ng/mL is exactly equal to 1 µg/L.

Why is HE4 measured with CA 125?

The two markers are complementary: CA 125 is sensitive but less specific, while HE4 is more specific, especially for certain types of ovarian cancer. Together they improve risk stratification.

Disclaimer: This calculator is provided for educational and reference purposes only. It is not intended for clinical diagnosis, treatment, or medical decision-making. Always consult a qualified healthcare professional and refer to your laboratory’s official reference ranges before interpretation.