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As ovarian cancer is rarely symptomatic until an advanced stage, [42] regular pre-emptive screening is a particularly important tool for avoiding the late stage at which most patients present. However, A 2011 US study found that transvaginal ultrasound and cancer marker CA125 screening did not reduce ovarian cancer mortality. [43]
The Pap test does not screen for ovarian cancer. [27] Ovarian cancer is usually only palpable in advanced stages. [29] This high risk group has benefited with earlier detection. [28] [26] [86] Screening is not recommended using CA-125 measurements, HE4 levels, ultrasound, or adnexal palpation in women who are at average risk. Currently there is ...
A typical recommendation includes frequent breast cancer screening as well as tests to detect ovarian cancer. [9]: 175–207 Breast imaging studies usually include a breast MRI (magnetic resonance imaging) once a year, beginning between ages 20 and 30, depending on the age at which any relatives were diagnosed with breast cancer.
People with BRCA1 and BRCA2 mutations are recommended to have a transvaginal ultrasound 1-2 times per year. Screening with CA-125 is also recommended.. Prophylactic salpingo-oophorectomy (removal of the ovaries and fallopian tubes to prevent cancer) is recommended at age 35-40 for people with BRCA1 mutations and at age 40-45 for people with BRCA2 mutations. [6]
Table 1: Patients with breast/ovarian cancer who developed BOC BOC patients who have ovarian cancer first BOC patients who have breast cancer first Median age at the first cancer diagnosis 51.5 years old 47.5 years old Median age at the other cancer diagnosis 56.5 years old 56 years old Patients diagnosed with the other cancer within 5 years 65.6%
Radical: for cases that present some of the following: patients > 40 years of age, their childbearing desires completed, would find it difficult to adhere to follow-up requirements, and invasive implants. When an extra-ovarian borderline or invasive relapse occurs, cytoreductive surgery as with primary ovarian cancer should be carried out.
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