Re: Screening for Ovarian Cancer

From: 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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