Roma scale: postmenopause

What is it? 
ROMA (Risk of Ovarian Malignancy Algorithm) – is an algorithm that helps assess the risk of ovarian cancer based on two biological markers – HE4 and CA-125, and the woman's menopausal status. This variant is applied to postmenopausal women. 

When is it recommended? 

• Detected ovarian mass in ultrasound; 
• Monitoring existing ovarian disease or aiming to detect an oncological process early; 
• Planning surgical treatment. 

Benefit to the patient: 

The ROMA scale helps the doctor determine whether a woman needs specialized oncological care. This is especially important for assessing the risk of malignant processes in early stages. 

Important: 

ROMA is not a diagnostic test, but a risk assessment tool. If the risk is increased – further investigations are recommended (e.g., CT, MRI, or laparoscopy).