Ovarian Cancer Tests
Can an ultrasound (whether internal or external) detect ovarian cancer or can only other tests do that?
There are no reliable screening tests for ovarian cancer. Ovarian cancer is confirmed and staged by biopsies that are taken during laparotomy surgery.
Some initial exams and tests are done before surgery if ovarian cancer is suspected. These tests include:
Your medical history to check what symptoms you have and what your chance of developing ovarian cancer is.
A physical exam, including a pelvic exam and Pap test. An ovarian lump may be felt during a pelvic exam. A bimanual rectovaginal exam may also be done to feel the pelvic organs.
A complete blood count (CBC) to check for anemia and other abnormal blood values.
A chemistry screen to check for liver and kidney problems.
A human chorionic gonadotropin (hCG) level may be done to rule out pregnancy or an ectopic pregnancy.
A cancer antigen 125 (CA-125) level to measure a protein found on the surface of many ovarian cancer cells.
A pelvic and transvaginal ultrasound to look for an ovarian lump.
Additional tests may be done before surgery to determine if other areas of the body are involved. These tests include:
A pelvic or abdominal CT scan or MRI to check for the spread of cancer.
A chest X-ray to check for the spread of cancer.
Genetic Testing for Breast and Ovarian Cancer
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