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Int J Gynaecol Obstet. 2005 Nov;91(2):146-50.
Doppler ultrasound assessment and serum cancer antigen 125 in the diagnosis of ovarian tumors.
Erdogan N,Ozcelik B,Serin IS,Akgun M,Ozturk F.
Erciyes University, Department of Radiology, Kayseri, Turkey. nerdogan@erciyes.edu. Tr
Objectives:
To differentiate benign from malignant ovarian tumors based on sonographic detection of a solid component.
Method:
Sixty-three women with ovarian masses were evaluated preoperatively by gray scale and power/color Doppler ultrasonographic examination, with specific predefined criteria for the solid component. Sensitivity, specificity, and positive and negative predictive values were calculated and assessed against the histopathologic outcome. The contribution of cancer antigen (CA) 125 levels to the diagnostic accuracy was also assessed. RESULT: Sensitivity, specificity, and positive and negative predictive values were 100%, 95.2%, 91.3% and 100%, respectively, with two false-positive results. Had an elevated CA 125 level (>35 U/mL) been included in the malignancy criteria, the false-positive results would have been eliminated, giving an accuracy of 100%.
Conclusion:
Sonographic evaluation with predefined specific criteria for the detection of a solid tumor component is an accurate method of preoperative discrimination between benign and malignant ovarian tumors. A serum CA 125 assay may assist in eliminating false-positive results.

Please click on the required question.
Cancer of the Ovary.
23 How does ovarian cancer present?
24 How prevalent is ovarian cancer?
25 What are tumour markers?
26 Can we screen for ovarian cancer?
27 What is the relationship between infertility and ovarian cancer?
28 Can treatment of infertility increase the risk of ovarian cancer?
29 What is the relationship between oral contraception and cancer?
30 Can ovarian cancer be prevented?
31 I use talcum power. Could this increase my risk of developing ovarian cancer?
The Treatment Of Womens' Cancers
32 Can we predict the course of a cancer?
33 What treatment options are available for gynaecological cancer?
Q32.33c What treatment options are available for ovarian cancer?
Cancer of the Vulva, Vagina and Fallopian Tube
34 How prevalent are malignant conditions of the vulva, vagina and Fallopian tubes?Breast Cancer
35 What is the incidence of breast cancer?
35 ?What is the cause of breast cancer?35a What are the advantages of breast cancer screening - mammography - mammograms?
36 How often should breast screening be carried out?
37 Are there any problems having a mammogram?
38 Should I check myself for breast lumps?
39 One of my family developed cancer of the breast. Am I at increased risk?
40 We have a family tendency towards developing breast / ovarian cancer. Are there any genetic tests to find out if I am at increased risk?
41 What happens if a mammogram shows an abnormality?
42 What are the advantages and disadvantages of tamoxifen in the management of breast cancer?
42a Breast Cancer Treatment - What is available?
43 What is the relationship between breast cancer and the pill?
Web sites and Support Groups
44 Are there any support groups?
44 Are there any support groups?
45 Support Groups.
46 Breast Cancer Support Groups
47 Ovarian Cancer Support Groups
48 Endometrial Cancer Support Groups
49 Cervical Cancer Support Groups
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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
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