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Published on: October 14, 2015
Ovarian Cancer Prevention in High-risk Women
Sarah M Temkin1, Jennifer Bergstrom, Goli Samimi
1*Department of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, Virginia †Johns Hopkins School of Medicine, Kelly Gynecologic Oncology Service, Baltimore, Maryland ‡Division of Cancer Prevention, National Cancer Institute, Bethesda, Maryland.
Abstract:
Ovarian carcinoma is the most lethal malignancy of the female genital tract. Population-based trials in the general population have not demonstrated that screening improves early detection or survival. Therefore, application of prevention strategies is vital to improving outcomes from this disease. Surgical prevention reduces risk and prophylactic risk-reducing salpingo-oophorectomy is the most effective means to prevent ovarian carcinoma in the high-risk patient although the risks do not outweigh the benefits in average risk patients. Other surgical and medical options have unknown or limited efficacy in the high-risk patient. In this review, we define the patient at high risk for ovarian cancer, discuss how to identify these women and weigh their available ovarian cancer prevention strategies.
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