Dear OncoLink "Ask The Experts,"
Would you please let me know what is the test or examination with the most accuracy to detect ovarian cancer? How efficient is the ultrasound to detect the malignancy?
Thank you very much for your answer.
Christina S. Chu, MD, Assistant Professor of the Division of Gynecologic Oncology at the University of Pennsylvania Health System, responds:
Unfortunately, there is no reliable, cost-effective screening test for early detection of ovarian cancer in the general population. For women who are at particularly high risk, such as members of hereditary ovarian cancer families, increased surveillance with physical examination, transvaginal ultrasound, and a blood test for CA125 may be performed every 6-12 months starting between the ages of 25-35. Patients with two or more first-degree relatives with ovarian cancer should undergo evaluation by a genetic counselor or gynecologic oncologist, with plans for screening individualized to each patient. Though CA125 blood tests and transvaginal ultrasounds are commonly obtained to screen for ovarian cancer, no definitive evidence exists to show that these tests can actually improve the survival of women ultimately diagnosed with the disease.
May 20, 2010 - A bone mineral density test followed by selective use of alendronate for fracture prevention in men beginning androgen deprivation therapy for localized prostate cancer is cost-effective, according to research published in the May 18 issue of the Annals of Internal Medicine.
May 20, 2010
Aug 23, 2014
Aug 23, 2014
May 23, 2011
Apr 16, 2012