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Re: OVCA screening (was microinvasive....)From: A.C. Evans (ahcevans@execpc.com)Tue Oct 5 13:48:46 1999
On Mon, 4 Oct 1999 22:23:17 -0500, mark decker <mdecker@nconnect.net> wrote:
>what is the most current recommendation for ca 125, pelvic exam and us for I suggest the ACOG Educational Bulletin (August, 1998) on Ovarian Cancer. I helped write it so this is not a completely unbiased opinion. There is no recommended interval and there are still no data to support one interval over another. If there is a clear familial cancer syndrome, I offer genetic testing and/or prophylactic oophorectomy. If this is an isolated sporadic case, the sisters have about a risk double the baseline (one in 35 as opposed to 1 in 70). In these cases, I usually place the women on OCP's and offer screening with exam, TVS and CA125 every 9 months (no data for or against). If a benign-looking cyst pops up on U/S, though, it is always a tricky situation to deal with. Hope this helps, Craig Evans, MD, PhD Director, Gynecologic Oncology Vince Lombardi Cancer Clinic Milwaukee, WI
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