Ovarian Cancer Screening Program

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ovarian screening information


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Early Ovarian Cancers Detected at Stage IA by TVS Screening

This table summarizes the screening program's experience with Stage IA ovarian cancers. All 8 of the cases below represent a cancer caught by TVS imaging while it was still early and curable; take special note that 7 of the 8 women were considered normal on a physical exam, showing that a gynecological visit alone would not have caught their cancers at such an early stage.


  (Cases underlined in blue can be clicked on to access actual TVS images).

Case

A

B

C

D

E

F

G

H

Age at Dx

72

50

42

36

55

66

64

63

CA-125, U/ml

7

14

14

   

37

   
Physical Exam

Normal

Normal

Palpable

Normal

Normal

Normal

Normal

Normal

TVS size, cm3

75

19.4

14.7

32.1

14.7

39.8

25

223.1

TVS – cystic

+

+

 

+

+

 

+

+

TVS – solid  

+

           
TVS – papillation

+

             
TVS – septation      

+

+

 

+

+

TVS – MI

5

8

1

5

6

6

3

8

Tumor Stage

IA

IA

IA

IA

IA

IA

IA

IA

Treatment

S

S & C

S

S

S

S

S & C

S

Status

A & W

A & W

A & W

A & W

A & W

A & W

A & W

A & W

DX Date

Jan-90

Aug-90

Mar-93

Mar-93

May-94

Jan-95

April-96

Jul-97

Years Post Dx

9.5

9.0

6.0

6.0

5.2

4.5

3.2

2.0

S = surgery
S & C = surgery + chemotherapy
A & W = alive and well
Dx = diagnosis

Case Histology (cancer cell type)
A Granulosa cell tumor, Grade 2
B Adenocarcinoma, Grade 3
C Serous cystadenocarcinoma, Grade 3
D Endometriod carcinoma , Grade 1
E Granulosa cell tumor,Grade 2
F Endometriod carcinoma, Grade 2
G Endometriod carcinoma
H Borderline serous ovarian epithithelial Tumor

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This page is maintained by Dr. Edward J. Pavlik

I can be e-mailed at:  epaul1@.uky.edu or ejpavlik@msn.com 

Last revised: March 17, 2008
Content Copyright 1999- 2008, Edward J. Pavlik

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