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Re: CA-125 blood test and ovarian cyst From: D. Ashley Hill, MD (anonymous@obgyn.net) Sat, 5 Feb 2000 21:21:49 -0600 (CST) Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DT: "Re: CT scan (long-sorry)" Previous message: D. Ashley Hill, MD: "Re: Dr. Hill" In reply to: Ann: "CA-125 blood test and ovarian cyst" At Sat, 5 Feb 2000, Ann wrote: I'm wondering whether that blood test ,CA-125> >comes out elevated for other reasons? Dr. Marchbein listed a number of reasons, but I would like to make a plea that *premenopausal* patients not demand this test from their primary care doctors. This test is really designed for postmenopausal patients with ovarian cysts. Since it can be elevated with a number of conditions (fibroids, endometriosis, recent abdominal surgery) or situations (smoking), it is not a good screening test in premenopausal women. I know of many women who have undergone unnecessary surgery because their CA-125 level came back elevated. Their gynecologists felt obligated to operate because they were referred with an elevated CA-125 and a small ovarian cyst. It takes guts to ignore that test and proceed with the normal evaluation for a small ovarian cysts these days. -- David Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency http://home.mpinet.net/dahmd My apologies, but due to time constraints I am unable to answer private e-mails. Next message: DT: "Re: CT scan (long-sorry)" Previous message: D. Ashley Hill, MD: "Re: Dr. Hill" In reply to: Ann: "CA-125 blood test and ovarian cyst"

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