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Ovarian carcinoma diagnosis.
B A Goff1, L Mandel, H G Muntz
1University of Washington, Department of Obstetrics and Gynecology, Seattle, Washington 98195-6460, USA.
Cancer
|November 7, 2000
Summary
Most ovarian carcinoma patients experience symptoms, yet diagnosis is often delayed. Ignoring symptoms and factors like missed pelvic exams contribute to advanced disease detection.
Area of Science:
- Oncology
- Gynecologic Oncology
- Public Health
Background:
- Ovarian carcinoma is often diagnosed at advanced stages, earning it the "silent killer" moniker.
- Early detection is crucial for improving patient outcomes in ovarian cancer.
Purpose of the Study:
- To evaluate preoperative symptoms in women with ovarian carcinoma.
- To identify factors contributing to delayed diagnosis of ovarian cancer.
Main Methods:
- A survey was distributed to 1500 ovarian carcinoma patients, with 1725 responses received from across North America.
- The survey collected data on patient demographics, symptoms, and diagnostic timelines.
Main Results:
- 95% of surveyed women reported symptoms prior to their ovarian carcinoma diagnosis.
- Factors associated with delayed diagnosis include symptom omission, numerous symptoms, initial misdiagnoses (e.g., depression), and lack of initial imaging or CA 125 testing.
- Women ignoring symptoms were more likely to be diagnosed with advanced disease.
Conclusions:
- The majority of women with ovarian carcinoma experience symptoms.
- Significant delays in diagnosis are common, impacting disease stage at detection.