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Doctor insights on: How Accurate Is Trans Vaginal Ultrasound For Early Detection Of Ovarian Cancer

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How accurate is trans vaginal ultrasound for early detection of ovarian cancer?

How accurate is trans vaginal ultrasound for early detection of ovarian cancer?

Apparently, very.: Statistics for this are hard to come by, but this is an essential part, along with physical exam, and blood test (for ca-125), of the initial workup. Patients can be asymptomatic, and physical exam can be negative. An ultrasound is likely to find suspect areas that the other tests can fail to pick up. High ca-125 can be seen in other conditions. Surgery is probably the most specific procedure. ...Read more

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Dr. Michael Gabor
2,244 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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How accurate is the pelvic and trans vaginal ultrasound for the early detection of ovarian cancer?

How accurate is the pelvic and trans vaginal ultrasound for the early detection of ovarian cancer?

Not accurate enough: Early diagnosis is of ovarian cancer is essetial for cure, the silent killer of woman. But it is useful in identifying the nature of pelvic mass , and possible to detect ovarian cancer, moot point can it detect it early, national alliance on ovarian cancer recommends it. Other useful blood tests ca 125 , new ova 1 may not detect all early ovarian cancers. ...Read more

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How precise is the pelvic and trans vaginal ultrasound for early detection of ovarian cancer?

How precise is the pelvic and trans vaginal ultrasound for early detection of ovarian cancer?

Limited: Ultrasound, tumor marker evaluation, history, and physical exam have not been shown to be effective in adequately screening for this disease (even when used all together). This is a disease we don't really have a handle on right now. This doesn't mean patients who have pelvic pain or risk factors shouldn't be evaluated, but the tools available have not been shown to increase life expectancy. ...Read more

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How accurate is the transabdomen and transvaginal ultrasound for early detection of ovarian cancer?

How accurate is the transabdomen and transvaginal ultrasound for early detection of ovarian cancer?

Not very: Unfortunately, there is no good screening for ovarian cancer. Ultrasound will show a mass if there is one and may help characterize it as likely benign or malignant. This, with blood test and recognizing symptoms, might help with managment of a mass that is already there, but not in early detection. Notify your doctor if you have persistent bloating, change in bowel or bladder habits, or pain. ...Read more

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How precise is the pelvic and transvaginal ultrasound for early detection of ovarian cancer?

How precise is the pelvic and transvaginal ultrasound for early detection of ovarian cancer?

Limited: Ultrasound, tumor marker evaluation, history, and physical exam have not been shown to be effective in adequately screening for this disease (even when used all together). This is a disease we don't really have a handle on right now. This doesn't mean patients who have pelvic pain or risk factors shouldn't be evaluated, but the tools available have not been shown to increase life expectancy. ...Read more

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Can transvaginal ultrasound be used for early detection of ovarian cancer?

Can  transvaginal ultrasound be used for early detection of ovarian cancer?

Sometimes: It is not a good screening test for the average woman. However, some centers recommend aggressive screening for women with significant family history of ovarian cancer or genetic related issues. In those few cases, screening with vaginal ultrasound and ca-125 blood tests may be helpful. (but unfortunately, these tests are no where near as sensitive as colonoscopy screening for colorectal polyps. ...Read more

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Transvaginal ultrasound for ovarian cancer what are they looking for?

Transvaginal ultrasound for ovarian cancer what are they looking for?

How the ovaries look: They are looking for how the ovaries look in terms of size and shape generally. ...Read more

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Could the transvaginal ultrasound not catch ovarian cancer on time before it spreads to other organs?

Could the transvaginal ultrasound not catch ovarian cancer on time before it spreads to other organs?

Possibly: The transvaginal ultrasound (u/s) is arguably the best screening tool for ovarian cancer (oca) but certainly the quality of the u/s and the state of the oca when it was discovered can affect the value of the early diagnosis. A recent study comparing the survival of persons whose oca was detected by u/s to those diagnosed by other means showed significant increased survival in the u/s group. ...Read more

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Does this mean that the transvaginal ultrasound does not catch ovarian cancer on time before it spreads?

Only a small : Percentage of ovarian cancers are found by accident on ultrasound before they spread outside of the ovary. ...Read more

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Would an ultrasound and a transvaginal ultrasound still miss signs of ovarian cancer?

Would an ultrasound and a transvaginal ultrasound still miss signs of ovarian cancer?

Yes: Almost all test and imaging studies have false positive and false negative results. Early ovarian cancer is particularly difficult to detect as the normal ovary often has cystic changes and varies in size during the reproductive period. Having said that, transvaginal ultrasound is a useful and perhaps the best test for detecting ovarian cancer. ...Read more

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Aren't transvaginal ultrasounds good for checking ovarian cancer?

Aren't transvaginal ultrasounds good for checking ovarian cancer?

Limited: Ultrasound, tumor marker evaluation, history, and physical exam have not been shown to be effective in adequately screening for this disease (even when used all together). This is a disease we don't really have a handle on right now. This doesn't mean patients who have pelvic pain or risk factors shouldn't be evaluated, but the tools available have not been shown to increase life expectancy. ...Read more

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I may have an abnormal he 4 blood test. Do I have ovarian cancer. I have an ovarian cyst 3.4 CM which is being monitored with transvaginal ultrasounds?

I may have an abnormal he 4 blood test. Do I have ovarian cancer. I have an ovarian cyst 3.4 CM which is being monitored with transvaginal ultrasounds?

An abnormal HE-4: Is not good but what is the ca-125 or did they do an ova-1? And if you are not , you should be referred to a gyn oncologist for evaluation and is not hard to remove that ovary through the davinci or laparoscope if necessary, as at your age the ovary is worthless and hopefully it will be benign. ...Read more

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Does a normal transvaginal ultrasound result rule out ovarian cancer? I have PCOS and terrible gas and bloating, aunt had ovarian cancer last year

Does a normal transvaginal ultrasound result rule out ovarian cancer? I have PCOS and terrible gas and bloating, aunt had ovarian cancer last year

US is good test: The transvaginal US is a good test for looking at the ovaries. If there were a mass there they should be able to see it on the US. If you have ovarian cancer in your family and you are concerned, you could ask your doctor to order a CA-125 blood test. This test is elevated in ovarian cancer. ...Read more

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I have pubic bone pain and urinary frequency. Doctor ordered a transvaginal ultrasound that came back clear. Could it be ovarian cancer? (age28, brca)

I have pubic bone pain and urinary frequency. Doctor ordered a transvaginal ultrasound that came back clear. Could it be ovarian cancer? (age28, brca)

Probably not: It is very unlikely to have ovarian cancer at 28yo. A negative ultrasound doesn't necessarily rule it out but is a good indicator that the ovaries are ok at this time. If you are brca positive, then you should have an ultrasound and ca125 test every 6 months which may help a little but even better is to remove ovaries once you have completed your family. ...Read more

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Can u still have endometriosis or ovarian cancer w/ a clear transvaginal ultrasound? My doc says my ovaries are normal and my tiny cyst is gone. I have tons of pelvic pain & my mom has the brca2 gene.

Yes and No: Yes: you could definitely have endometriosis with a clear ultrasound, but would not likely have an endometrioma of the ovary no: it would be pretty unlikely to have ovarian cancer with a clear ultrasound and even if you did have extremely early undetectable cancer, it would not cause pain. ...Read more

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What do you advise if i had an ultrasound done about a year ago, could I have gotten ovarian cancer since then.?

What do you advise if i had an ultrasound done about a year ago, could I have gotten ovarian cancer since then.?

Ovarian cancer: It is theoretically possible, the ultrasound one year ago has no influence on future events. Why do you think you might have ovarian cancer? Best bet is to talk to your gyn. If you have a genetic increased risk(BRCA carrier) or a strong family history, there may be a role for screening ultrasounds. ...Read more

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Docs, could a pelvic ultrasound detect ovarian cancer?

Docs, could a pelvic ultrasound detect ovarian cancer?

Possibly.: A pelvic ultrasound could give valuable information regarding anatomic abnormalities in the ovaries (changes in size / shape and cystic versus solid nature of mass lesions). Us is a common test in the initial workup of gynecologic tumors. In order to prove a diagnosis of malignancy, cells or fluid or tissue would need to be sampled from the ovary or pelvis or abdomen and then studied in a lab. ...Read more

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What the test for ovarian cancer? Ultrasound or blood test

What the test for ovarian cancer? Ultrasound or blood test

Several tests done.: Pain and bloating can be signs of ovarian cancer, but they can be just from a painful period. Ovarian cancer would be more likely in older women, like 40+ years, and most likely in women 70+ years. Other tests, like pelvic exam, ca-125, and transvaginal ultrasound would be needed. The ultimate way to know is surgery to see if it is in fact, a tumor of something else. ...Read more

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Please tell me, could a kidney stone ultrasound also detect ovarian cancer?

Please tell me, could a kidney stone ultrasound also detect ovarian cancer?

Yes, but...: It is possible that a renal ultrasound might detect some findings associated with ovarian cancer but the cancer would have to be relatively advanced for such findings to be present. Ascites (fluid in the abdomen) soft tissue masses on the abdominal wall (peritoneal implants), and blockage of the kidneys may be seen. The ovaries themselves would not typically be studied. ...Read more

Dr. Barry Rosen
4,310 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


Dr. Chevies Newman
1,113 doctors shared insights

Premature (Definition)

Very premature is a condition in which a baby is delivered between 28 and 31 weeks' gestation. Depending on how premature, how sick, and how lucky or unlucky a baby is, he can get brain problems, cerebral palsy, blindness, deafness, developmental problems, learning disabilities, severe lung diseases, infection and loss of some intestines, etc... Babies who are only moderately premature usually ...Read more