Exams and Tests
Some exams and tests that are done to look for or diagnose ovarian cancer include:
- A biopsy, which is the only way to know for sure if a woman has ovarian cancer. This usually is done with a laparotomy, through a cut (incision) in the belly.
- A physical exam, including a pelvic exam and Pap test. An ovarian lump may be felt during a pelvic exam. A rectovaginal exam may also be done to feel the pelvic organs.
- A cancer antigen 125 (CA-125) level, to measure a protein found on the surface of many ovarian cancer cells.
- A pelvic and transvaginal ultrasound, to look for an ovarian lump.
- A pelvic or abdominal CT scan or MRI, to check for the spread of cancer.
Early detection
The United States Preventive Services Task Force (USPSTF) doesn't recommend routine screening for ovarian cancer.6 There is no proof that having regular tests helps women live longer by finding ovarian cancer early.
General Information About Ovarian Epithelial Cancer
Note: Some citations in the text of this section are followed by a level of evidence. The PDQ editorial boards use a formal ranking system to help the reader judge the strength of evidence linked to the reported results of a therapeutic strategy. (Refer to the PDQ summary on Levels of Evidence for more information.) Incidence and Mortality Estimated new cases and deaths from ovarian cancer in the United States in 2011:[1] New cases: 21,990. Deaths: 15,460. Several malignancies...
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Still, some experts recommend that women who have inherited a BRCA gene change and have not had their ovaries removed have a transvaginal ultrasound and a CA-125 blood test at least once a year, starting at age 35. Women who have inherited a BRCA1 gene change (not a BRCA2 gene change) may want to start having these tests as early as age 25.7
WebMD Medical Reference from Healthwise
