Doctor insights on: Lab tests for ovarian cancer
Annual exam: The best screening remains the annual pelvic exam coupled with a careful history. The ca125, ova-1 and other tumor markers in conjunction with a vaginal probe ultrasound are useful in some patients. Always report any unusual symptoms to your gynecologist. Pay attention to your body. ...Read moreSee 2 more doctor answers
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
History: Including family history, physical exam with pelvic looks at ervix, and bimanual exam, & rectal exam to probe for masses, shelf, and overt and secret blood. Then begins imaging: u/s, ct. If a mass is confirmed, it needs biopsy. Only after DX is made is a ca-125 potentially helpful, not as a screen. ...Read more
I'm 34 and 4 years ago I had all the tests for ovarian cancer it was negative. I now have all the symptoms, could I be in the late stages of it now?
You can not be so su: If you have symptoms, then an examination by your doctor is the first step. Only if he/she suspect something on an examination will they order imaging studies with an ultrasonogram or ct scans which can easily show the status of your ovaries. I would not get so anxious right away when your previous testing has been unremarkable. It may simply be fear/ worry of the unknown. Your doctor can help. ...Read moreSee 1 more doctor answer
None: Unfortunately, no screening test (be it ultrasound, physical exam, or ca 125 tumor marker) can detect ovarian cancer early enough to make a difference. People with high risk for cancer often choose to have the ovaries removed before they get malignant. If you have concerns about your risk, please have a chat with your doc. Best to you. ...Read more
Nothing good: Unfortunately there is nothing that's accurate. We sometimes use ultrasound and a blood test called CA125 to screen very high risk people like those with a family history of ovarian/breast cancer or Ashkenazi Jewish. However, even in this group we are not very good at preventing ovarian cancer and making people live longer. There are some tests in development and hopefully it will be reality soon ...Read more
Backward: There is no screening test for ovca. However, if you have ovarian cancer, a ca-125 level may or may not be elevated. If it is, it may be one thing monitired for response. Getting ca-125, an expensive blood test of unproven value before knowing you have the cancer is inded backward, costly, non-specific and can led to unnecessary worry. ...Read moreSee 1 more doctor answer
Yes: Anybody can have cancer. The basis of diagnosis is the history, physical exam, and rational screening. I do not know what blood work you had, or whether the marker was above reference range or not. This question needs to be brought by you to, and answered by, your personal physician. I'm glad you're taking a proactive approach and wish you good luck on follow-up. ...Read more
I have all the symptoms of ovarian cancer. Had a blood test and it was negative and my scan turned out negative too. So what is the matter?
Ovarian cancer: More often than not, ovarian cancer does not have symptoms. If your scan and blood tests are negative, obviously one must consider other causes. If you separately list your symptoms here, we might be able to help. Even better might be a consult via HealthTap Prime or Healthtap Concierge. Whatever we can do to help. Good luck. ...Read more
Measures a protein: The ca-125 test is a blood test that detects a protein in the blood that is produced by malignant ovarian cells. It is used to help determine if an ovarian cancer patient has had a relapse, or to help differentiate a cyst found by sonogram or ct. The most important point: it should never be used as a yearly screening test, and should not be requested by patients as a screening test. ...Read more
My grandmother may have very advanced ovarian cancer, tests are coming back today. Is ovarian cancer hereditary?
Yes: Many genes have been identified that may increase your risk of ovarian cancer from the normal <1% risk to a doubling or up to a 40% lifetime risk. The best validated gene is the brca gene. The new next generation sequencing technology can check for 19 genes at once that increase risk of breast, ovarian and uterine cancer. This may be helpful if you have a family history of ovarian cancer. ...Read moreSee 2 more doctor answers
Depends: At 25 years of age, of course it would be very unlikely for you to have cancer. More common than typical ovarian cancer at your age would be sex-cord stromal tumor or germ cell tumors. Markers for these would be: estradiol, testosterone, hcg, afp, ldh. Ca-125 is the tumor marker for the common ovarian cancers that occur with older women. An ultrasound, ct scan or MRI might be ordered as well. ...Read moreSee 1 more doctor answer
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