Abstract
Ovarian cancer has a high mortality rate. The most common serous type spreads rapidly throughout the peritoneal cavity when 5-year survival is 10%. If diagnosed in earlier stages where the cancer is still confined to the ovary, this survival rate is about 90%. This is the reason to be interested in screening at earlier stages in the average-risk general population. Thus, annual transvagin*l ultrasound (TVS) alone or as a multimodal screening test following serum carbohydrate antigen 125 (CA125) has been investigated. Ultrasound lacks sensitivity and specificity; new contrast-enhanced approaches might improve these. When the serum marker is combined with ultrasound and interpreted by a rise in the level rather than by a fixed cut-off, improved sensitivity and specificity and a late but not significant reduction in mortality are observed. Further investigations could highlight the interest of a shorter than annual screening, of a long-term follow-up and new contrast-enhanced ultrasound techniques.
Original language | English |
---|---|
Article number | 20190022 |
Journal | Hormone Molecular Biology and Clinical Investigation |
Volume | 41 |
Issue number | 3 |
DOIs | |
State | Published - 1 Sep 2020 |
Externally published | Yes |
Keywords
- Ovarian cancer
- Screening
- Ultrasound
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Baümler, M., Gallant, D., Druckmann, R. (2020). Ultrasound screening of ovarian cancer. Hormone Molecular Biology and Clinical Investigation, 41(3), Article 20190022. https://doi.org/10.1515/hmbci-2019-0022
Baümler, Marcel ; Gallant, Delphine ; Druckmann, Renã et al. / Ultrasound screening of ovarian cancer. In: Hormone Molecular Biology and Clinical Investigation. 2020 ; Vol. 41, No. 3.
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title = "Ultrasound screening of ovarian cancer",
abstract = "Ovarian cancer has a high mortality rate. The most common serous type spreads rapidly throughout the peritoneal cavity when 5-year survival is 10%. If diagnosed in earlier stages where the cancer is still confined to the ovary, this survival rate is about 90%. This is the reason to be interested in screening at earlier stages in the average-risk general population. Thus, annual transvagin*l ultrasound (TVS) alone or as a multimodal screening test following serum carbohydrate antigen 125 (CA125) has been investigated. Ultrasound lacks sensitivity and specificity; new contrast-enhanced approaches might improve these. When the serum marker is combined with ultrasound and interpreted by a rise in the level rather than by a fixed cut-off, improved sensitivity and specificity and a late but not significant reduction in mortality are observed. Further investigations could highlight the interest of a shorter than annual screening, of a long-term follow-up and new contrast-enhanced ultrasound techniques.",
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author = "Marcel Ba{\"u}mler and Delphine Gallant and Ren{\~a} Druckmann and Walther Kuhn",
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Baümler, M, Gallant, D, Druckmann, R 2020, 'Ultrasound screening of ovarian cancer', Hormone Molecular Biology and Clinical Investigation, vol. 41, no. 3, 20190022. https://doi.org/10.1515/hmbci-2019-0022
Ultrasound screening of ovarian cancer. / Baümler, Marcel; Gallant, Delphine; Druckmann, Renã et al.
In: Hormone Molecular Biology and Clinical Investigation, Vol. 41, No. 3, 20190022, 01.09.2020.
Research output: Contribution to journal › Review article › peer-review
TY - JOUR
T1 - Ultrasound screening of ovarian cancer
AU - Baümler, Marcel
AU - Gallant, Delphine
AU - Druckmann, Renã
AU - Kuhn, Walther
N1 - Publisher Copyright:© 2019 Walter de Gruyter GmbH, Berlin/Boston.
PY - 2020/9/1
Y1 - 2020/9/1
N2 - Ovarian cancer has a high mortality rate. The most common serous type spreads rapidly throughout the peritoneal cavity when 5-year survival is 10%. If diagnosed in earlier stages where the cancer is still confined to the ovary, this survival rate is about 90%. This is the reason to be interested in screening at earlier stages in the average-risk general population. Thus, annual transvagin*l ultrasound (TVS) alone or as a multimodal screening test following serum carbohydrate antigen 125 (CA125) has been investigated. Ultrasound lacks sensitivity and specificity; new contrast-enhanced approaches might improve these. When the serum marker is combined with ultrasound and interpreted by a rise in the level rather than by a fixed cut-off, improved sensitivity and specificity and a late but not significant reduction in mortality are observed. Further investigations could highlight the interest of a shorter than annual screening, of a long-term follow-up and new contrast-enhanced ultrasound techniques.
AB - Ovarian cancer has a high mortality rate. The most common serous type spreads rapidly throughout the peritoneal cavity when 5-year survival is 10%. If diagnosed in earlier stages where the cancer is still confined to the ovary, this survival rate is about 90%. This is the reason to be interested in screening at earlier stages in the average-risk general population. Thus, annual transvagin*l ultrasound (TVS) alone or as a multimodal screening test following serum carbohydrate antigen 125 (CA125) has been investigated. Ultrasound lacks sensitivity and specificity; new contrast-enhanced approaches might improve these. When the serum marker is combined with ultrasound and interpreted by a rise in the level rather than by a fixed cut-off, improved sensitivity and specificity and a late but not significant reduction in mortality are observed. Further investigations could highlight the interest of a shorter than annual screening, of a long-term follow-up and new contrast-enhanced ultrasound techniques.
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KW - Screening
KW - Ultrasound
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U2 - 10.1515/hmbci-2019-0022
DO - 10.1515/hmbci-2019-0022
M3 - Review article
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AN - SCOPUS:85075119484
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JO - Hormone Molecular Biology and Clinical Investigation
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Baümler M, Gallant D, Druckmann R, Kuhn W. Ultrasound screening of ovarian cancer. Hormone Molecular Biology and Clinical Investigation. 2020 Sep 1;41(3):20190022. doi: 10.1515/hmbci-2019-0022