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Rectovaginal exam key: steps to prevent, detect early ovarian Ca.(Gynecology)
UNIVERSAL CITY, CALIF. -- The most effective thing ob.gyns. can do to detect ovarian cancer is to perform regular rectovaginal examinations on their patients, according to Dr. David A. Fishman, director of the National Ovarian Cancer Early Detection Program.
Unfortunately, that's not happening today, Dr. Fishman said at a meeting of the Obstetrical and Gynecological Assembly of Southern California.
Among more than 8,000 women at high risk for ovarian cancer enrolled in a National Ovarian Cancer Early Detection Program (NOCEDP) clinical study, nearly 40% of patients reported they had never had a rectovaginal examination in their lives. Their average age was 47.
"It was a shock to me," he said. "Please do rectovaginal exams on your patients."
Ironically, some physicians who do not perform such examinations are quick to order CA 125 tests, which Dr. Fishman discouraged as a screening tool.
"When it's elevated, you have a problem. When it's not elevated, you also may have a problem," he explained.
Many conditions trigger false elevations of CA 125. These include fibroids, benign ovarian cysts, pelvic inflammation, pregnancy, ovulation, and endometriosis.
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Source: HighBeam Research, Rectovaginal exam key: steps to prevent, detect early ovarian...