Your Good Health: Ovarian cancer screening only for those at highest risk

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Your Good Health: Ovarian cancer screening only for those at highest risk
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Screening for ovarian cancer has never been shown to have a benefit in reducing the risk of dying from ovarian cancer in average-risk or increased-risk women.

Dear Dr. Roach: I am a 70-year-old woman. I have asked my doctor for genetic cancer screening and was told I didn’t need it unless I had symptoms. I had a hysterectomy, but I still have my ovaries. My maternal grandmother died of ovarian cancer. My mother had an ovarian cyst removed when she was in her 50s. I have aunts on both sides of my family that have died from both breast and ovarian cancers.

Although screening with blood testing and imaging studies have been studied, screening for ovarian cancer has never been shown to have a benefit in reducing the risk of dying from ovarian cancer in average-risk or increased-risk women. There are also potential harms from screening, as there are false-positive tests that sometimes require follow-up testing or even surgery to prove that the results are false-positive.

Since you do have a family history, but fortunately not a first-degree relative with ovarian cancer, you are not at the highest risk, and screening is more likely to result in harm than benefit. The diagnosis is made by culture or molecular testing, such as a PCR test. Although Nocardia is often seen in people with a compromised immune system, about a third of the time, it occurs in people with no apparent immune system disease. Apart from the lungs, the skin is the most commonly affected site, but the infection can spread almost anywhere in the body.

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timescolonist /  🏆 15. in CA

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