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Re: Screening for Ovarian CancerFrom: John Robertson M.D. (john.robertson@obgyn.net)Sat Mar 28 09:47:55 1998
At Sat, 28 Mar 1998, Dr Ian Sibley-Calder wrote: > >I wonder if you can answer me a question. >I am a GP in Hornsea East Yorkshire. The practice has >undertaken >to screen its patients for ovarian cancer if they have had a >first degree relative that has suffered. >We arrange Ultrasound every two years. >Is this appropriate? >Is the time interval right? >Should we be doing anything else? >What about second generations ie granddaughter? >I have read some of the research about Ca 125, but >I would like to know what is really practical and cost efective. >Many thanks >Ian Sibley-Calder >GP Hornsea To my knowledge ultrasound has never been shown to be a good screening device for ovarian cancer, nor has Ca 125. The only screening tool that appears to have any merit at present is testing for the BRAC 1 gene. And this only in patients with a strong family history.
-- J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 (604) 793-9988 e-mail john.robertson@obgyn.net Who is wise and understanding among you? Let him show it by his good life, by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV
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