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Cancer: Cervical & Ovarian Message Board
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Old 06-16-2011, 11:03 AM   #1
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Will Pelvic U/S Always Detect Ovarian Cancer?

If ovarian cancer can only be diagnosed by biopsy but one goes in for a pelvic ultrasound and there is nothing abnormal noted with the ovaries, why would a biopsy be performed? I read this on a prior post:

“Your Gyn/Ob is very wrong when she/he says that ovarian cancer is detected by pelvic ultrasound. Ovarian cancer can only be diagnosed through biopsy. What your gyn/ob may be saying is that you have no cysts and there is nothing wrong with your ovaries therefore no reason to suspect ovarian cancer.”

Then what would they biopsy if the ovaries looked ok upon ultrasound?

 
Old 06-18-2011, 06:16 PM   #2
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Re: Will Pelvic U/S Always Detect Ovarian Cancer?

Just had a visit with my Dr. She said ultrasounds are very good at detecting abnormalities with the ovaries. If something is suspected, a biopsy will be done and can then be diagnosed as benign or malignant.

 
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Old 06-19-2011, 03:48 PM   #3
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Re: Will Pelvic U/S Always Detect Ovarian Cancer?

Quote:
Originally Posted by busymommy View Post
If ovarian cancer can only be diagnosed by biopsy but one goes in for a pelvic ultrasound and there is nothing abnormal noted with the ovaries, why would a biopsy be performed? I read this on a prior post:

“Your Gyn/Ob is very wrong when she/he says that ovarian cancer is detected by pelvic ultrasound. Ovarian cancer can only be diagnosed through biopsy. What your gyn/ob may be saying is that you have no cysts and there is nothing wrong with your ovaries therefore no reason to suspect ovarian cancer.”

Then what would they biopsy if the ovaries looked ok upon ultrasound?
Well, cancer starts off microscopic.
By the time it's large enough to deform the ovaries, such as would be visible on an ultrasound (which is not very detailed, if you've ever seen one), it's already pretty far advanced.

I think biopsy could certainly detect it a lot sooner, which is why biopsy is the recommended diagnostic tool when ovarian cancer is suspected.

I mean, any type of cancer could be picked up by x-ray eventually- once it's large enough that there's a visible tumor- but why wait that long, when we have the screening and diagnostic tools to pick it up early, while it's still highly curable?

 
Old 06-19-2011, 04:49 PM   #4
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Re: Will Pelvic U/S Always Detect Ovarian Cancer?

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Originally Posted by Kali333 View Post
Well, cancer starts off microscopic.
By the time it's large enough to deform the ovaries, such as would be visible on an ultrasound (which is not very detailed, if you've ever seen one), it's already pretty far advanced.

I think biopsy could certainly detect it a lot sooner, which is why biopsy is the recommended diagnostic tool when ovarian cancer is suspected.

I mean, any type of cancer could be picked up by x-ray eventually- once it's large enough that there's a visible tumor- but why wait that long, when we have the screening and diagnostic tools to pick it up early, while it's still highly curable?
What screening/diagnostic tool is out there to pick up ovarian cancer early? I don't think there is anything.

 
Old 06-19-2011, 05:18 PM   #5
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Re: Will Pelvic U/S Always Detect Ovarian Cancer?

Quote:
Originally Posted by busymommy View Post
What screening/diagnostic tool is out there to pick up ovarian cancer early? I don't think there is anything.
Well, there's the blood test, the CA 125, although admittedly it gives a lot of false positives when used on premenopausal women, which is why doctors don't much like using it on them.

It's a pretty good screening tool when it comes to post-menopausal women, however.

Last edited by Kali333; 06-19-2011 at 05:19 PM.

 
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