Ovarian cancer is rare and usually discovered at a late stage. The signs are symptoms are subtle and not dissimilar from other abdominal or pelvic complaints. The key is that they are persistent. Dr. Poynor describes this not as ‘silent cancer’ but, a cancer which ‘whispers.’ Workup includes a pelvic exam, a transvaginal ultrasound and possibly a CAT scan. CA 125 is a blood test which is useful in following women who have been treated for an ovarian cancer to monitor a recurrence. It is not sensitive enough to detect early ovarian cancer nor specific enough because it may be elevated in benign conditions. But, it can be used until better markers become available.Peter Pressman, MDInterviewee:Elizabeth Poynor, MD, PhD FACOGGynecologic Oncologistmoreless
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