News that the risks of ovarian cancer screening tests outweigh the benefits has some women wondering what they should do to prevent the deadly disease. According to the American Cancer Society, ovarian cancer strikes about 22,000 women annually, and kills more than 15,000. While the majority of cases occur in women between the ages of 50 and 75, younger women can be affected as well. Dr. Laura Havrilesky, a gynecologic oncologist with the Duke Cancer Institute, explains what the latest findings mean and what every woman should know.
What do these recent screening recommendations mean?
The latest report reiterates what previous studies have already shown. The screenings – a blood test that looks for a substance linked to cancer and an ultrasound scan of the ovaries – yield a high number of false-positives. That can lead to unnecessary surgeries, which can cause serious complications whether or not ovarian cancer is found. At this point, it has been determined that the harm associated with these screening tests outweigh the benefits when they are performed on women who are not at risk for ovarian cancer.
How would I know if I am at risk?
Family history is the major risk factor. If you have multiple family members with pre-menopausal breast cancer, meaning before the age of 50, or at least one first or second degree relative with ovarian cancer, you are at increased risk. If you have a genetic mutation in your family, you may also be at risk and you may want to consider talking to a genetic counselor to help determine if genetic testing might be right for you.
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