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Doctor insights on: Can A Pap Smear Detect Ovarian Cancer

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Dr. Barry Rosen
4,308 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Am 32 - no children yet. Best way to determine 1.Ovarian cancer-pap smear or ca 125 & 2.Breast cancer-mammography or ca 15-3 granny died of ovarian ca?

Am 32 - no children yet. Best way to determine 1.Ovarian cancer-pap smear or ca 125 & 2.Breast cancer-mammography or ca 15-3 granny died of ovarian ca?

Exam: I would not recommend obtaining a ca-125 as it is a nonspecific test in patients without ovarian cancer. I would recommend a gynecologic exam. At your age, i would recommend a yearly breast exam. I would start obtaining mammograms at age 40. Hope this helps. ...Read more

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Post menopause bleeding. D&c clear, tvu show hyperplasia(6mm). Pap smear clear. Sometimes pelvic pain & bloating. 1.3cm ovarian cyst.Ovarian cancer?

Post menopause bleeding. D&c clear, tvu show hyperplasia(6mm). Pap smear clear. Sometimes pelvic pain & bloating. 1.3cm ovarian cyst.Ovarian cancer?

Need work up: You had ultrasound and d&c; the uterus should be clear. Bloating and pain is probably unrelated to your gynecology issues.The ovarian cyst however, is worth a follow up by ultrasound and blood test. ...Read more

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Total hys. In 2005 because of stage 3 ovarian cancer. Now had 2 abnormal paps and scheduled for another in 2 weeks. Also 2 scopes showed nothing.

Total hys. In 2005 because of stage 3 ovarian cancer. Now had 2 abnormal paps and scheduled for another in 2 weeks. Also 2 scopes showed nothing.

Not possible: If you had a total hysterectomy your cervix has been removed and a "pap" is not sampling cervical tissue. Could be regional recurrence. You need full evaluation including imaging of abdomen and pelvis. ...Read more

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I was wondering f I am at risk for ovarian cancer if my mother was diagnosed when she was 18 and m grandmother died from it? I am 20 and haven had a pap for a while and am concerned

Ovarian Cancer : With a positive family history such as your's, you have a significant increased risk, particularly if you harbor the brca genes. It would be wise to consult with your gynecologist, undergo a thorough exam, and test for known genetic markers. ...Read more

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Just went to gyno. For yearly can they tell if you have ovarian cancer? Pap or pelvic exam?

Just went to gyno.  For yearly can they tell if you have ovarian cancer? Pap or pelvic exam?

Annual exam: A pap smear is typically done during the annual exam. A pap smear is the test done to detect and prevent cervical cancer. During the pelvic exam the ovaries are felt. This is one of the screening tools to detect ovarian abnormalities. In some cases a sonogram is done to better assess the ovaries. ...Read more

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Please answer, if one had ovarian cancer, could it metastasis to pelvis and present on pap as cin 1?

Please answer, if one had ovarian cancer, could it metastasis to pelvis and present on pap as cin 1?

Pap and ovarian CA: First just remember a Pap test is only good for finding cervical CA. It doesn't find ovarian or uterine CA. That's why ovarian CA is called the silent CA and uterine CA presents with bleeding. Your abnormal pap is not even at a level where it would be CA yet. Talk to your doctor and ask if the CA cells from the ovarian CA look like the pap. Sounds like u have a new problem. Hang in there! ...Read more

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32 yo- periods nml 7 days & heavy. Last 2 were light and 3-5 days. Preg neg- pelvic exam & pap 1 mo ago nml. CT of ab &pelvis nml 2 mos ago. Should I be worried? Could this be ovarian cancer or uterine cancer? What should I do?

32 yo- periods nml 7 days & heavy. Last 2 were light and 3-5 days. Preg neg- pelvic exam & pap 1 mo ago nml. CT of ab &pelvis nml 2 mos ago. Should I be worried? Could this be ovarian cancer or uterine cancer? What should I do?

See below: Being obsessed about cancer is not helpful. Take oral iron and vitamins to prevent anemia from heavy periods. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

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I experience abdominal pain and bloating. Could pap smear results ASCUS signify ovarian cancer and not only cervical? I have chronic HBV as well.

I experience abdominal pain and bloating. Could pap smear results ASCUS signify ovarian cancer and not only cervical? I have chronic HBV as well.

Pap smear: It would be unusual for Pap smears to reveal ovarian cancer. If you have chronic HBV there is new and highly effective therapy available, and since this condition can lead to hepatocellular carcinoma, and the inflammation from HPV on the cervix can lead to cervical carcinoma you should definitely go and be taken care of ASAP. ...Read more

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Will the doc do other testing for ovarian and uterine cancer other than pap smear if I have symptoms?

Will the doc do other testing for ovarian and uterine cancer other than pap smear if I have symptoms?

Yes: Pap tests are only a screening test for cervical cancer. Unfortunately, there are no screening tests for uterine or ovarian cancer, although research is continuing. However, if you are experiencing symptoms, gynecologists should first perform a pelvic exam. A pelvic ultrasound or endometrial biopsy can also be helpful depending on your symptoms. Discuss options with your doctor. ...Read more

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Abnormal pap smear-enlarged uterus(11cm)left complex ovarian cyst(new since 7/31/15)and thickening endometrium(10mm)Possibly cancer?Lower abd pain24/7

Abnormal pap smear-enlarged uterus(11cm)left complex ovarian cyst(new since 7/31/15)and thickening endometrium(10mm)Possibly cancer?Lower abd pain24/7

A cornucopia: You have 5 major reasons for seeing a GYN MD now. This is the "horn of plenty" of symptoms that need immediate evaluation. Surgery may be in your immediate future after biopsy and evaluation. ...Read more

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Can a gynaecologist see if there's ovarian cancer by looking at ur cervix? I have all the signs of OC also two 3cm cysts. He Refused me a smear.

Can a gynaecologist see if there's ovarian cancer by looking at ur cervix? I have all the signs of OC also two 3cm cysts. He Refused me a smear.

No: The gynecologist can not tell if you have ovarian cancer by looking at your cervix. Your ovaries are in your pelvis, and you would need an ultrasound to see if there are any masses that would be suggestive of ovarian cancer. A pap test is used to screen for cervical cancer, and cervical cancer can sometimes be seen if it has progressed and you have a large mass on your cervix (biopsy needed). ...Read more

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How fast does ovarian cancer spread?

It's variable.: Some ovarian cancers spread very slowly - over years, even. The most common form of ovarian cancer likely spreads more quickly than that (weeks to months), but every patient with ovarian cancer is different. ...Read more

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Where does ovarian cancer spread to?

Where does ovarian cancer spread to?

Pelvis & abomen: Commonly when advaced spreads in the abdomen affecting the peritoneum producing increased intra pelvic and abdominal fluid. As most cancers may spread to liver, lung, brain, bone. Most ovarian cancer produce symptoms only in advanced stages with nonspecific sensations of increased belly or intraabdominally discomfort. Ca 125 is not a screening test because of so many false positives and negatives. ...Read more

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What tests can diagnose ovarian cancer?

CA-125 , ultrasound: Routine screening is not recommended on people with average risk. Family history is a strong risk factor. In these patients ca-125 (it is a tumor marker checked in blood) also transvaginal ultrasound can help early diagnosis. ...Read more

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Can ovarian cancer be felt during exam?

In some cases: In some cases of ovarian cancer, a mass (or masses) can be felt in the pelvis with a manual vaginal examination. In advanced cases, a swollen abdomen from ascites can be seen on exam (but this is not specific for ovarian cancer). In most cases of ovarian cancer, the findings on exam are quite nonspecific. ...Read more

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How early can ovarian cancer be detected?

How early can ovarian cancer be detected?

Depends.: It is notoriously hard to detect early. Pelvic ultrasound and family history along with serum ca-125 are some approaches to early detection that have not been particularly effective. Current research is aiming at identifying a serum proteomic signature of early ovarian cancer that can be clinically useful. ...Read more

Dr. Ed Friedlander
922 doctors shared insights

Pap Smear (Definition)

A pap smear (cervical smear) is a text looking at the cells from the canal and outside of the cervix to see if any abnormalities (especially ...Read more


Cervical Smear (Definition)

A cervical smear or pap smear is a text looking at cells from the outside and canal of the cervi to see if ...Read more