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Classic error in ovarian ca diagnosis: no pelvic exam. (Don't Disregard Vague Symptoms).

OB GYN News

| May 01, 2002 | Boschert, Sherry | COPYRIGHT 2002 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

KAUAI, HAWAII -- The best tool you have to detect ovarian cancer is your suspicion.

Family history; CA 125 testing, and ultrasound are ineffective or impractical for screening the general population for ovarian cancer. Your best bet is to pay attention when a patient says, "Something is wrong," and do a pelvic exam, Dr. Joanna M. Cain said at a conference on obstetrics, gynecology; perinatal medicine; neonatal medicine, and the law.

Up to 90% of women with ovarian cancer notice symptoms in the year before diagnosis, national and local surveys have shown. Many of them go to their physicians with vague complaints of bloating, fullness, nausea, diarrhea, abdominal or pelvic pain, or loss of energy. Too often, the diagnosis isn't made until months later.

The classic error: The physician didn't do a pelvic exam, said Dr. Cain, professor and chair of ob.gyn. at Oregon Health Sciences University, Portland.

Even in patients who undergo pelvic exams and imaging scans, however, some ovarian cancers will be missed because a small percentage of women with early disease will have normal-size ovaries.

When women present with vague gastrointestinal ...

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