Screening for Ovarian Cancer  

Oleh:

Clarke-Pearson, Daniel L.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 361 no. 02 (Jul. 2009), page 170-177 .
Topik: Ovarian Cancer

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2009.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Ovarian cancer that is diagnosed on the basis of symptoms is often at an advanced stage. Early detection, which is associated with improved survival, depends on effective screening strategies. Studies have shown that screening with the use of serum tumor markers (especially CA-125), ovarian imaging with transvaginal ultrasonography, or a multimodal strategy can detect ovarian cancer at an earlier stage, but trials that have been completed to date have not included a control group for direct comparison, and no trial has yet shown improved overall survival for women undergoing screening. Pending the results of the two large ongoing, randomized, controlled trials, I would advise against screening in a patient who is at average risk, such as the woman described in the vignette.

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