Practice
Diagnosing ovarian cancer
Melissa Walker and Mara Sobel
CMAJ October 22, 2018 190 (42) E1259; DOI: https://doi.org/10.1503/cmaj.180499
Melissa Walker
Department of Obstetrics and Gynecology (Walker, Sobel), Faculty of Medicine, University of Toronto; Department of Obstetrics and Gynecology (Walker, Sobel), Mount Sinai Hospital, Toronto, Ont.
MDMara Sobel
Department of Obstetrics and Gynecology (Walker, Sobel), Faculty of Medicine, University of Toronto; Department of Obstetrics and Gynecology (Walker, Sobel), Mount Sinai Hospital, Toronto, Ont.
MD![Loading Loading](https://www.cmaj.ca/sites/all/modules/contrib/panels_ajax_tab/images/loading.gif)
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Diagnosing ovarian cancer
Melissa Walker, Mara Sobel
CMAJ Oct 2018, 190 (42) E1259; DOI: 10.1503/cmaj.180499
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- Early-stage ovarian cancer is difficult to diagnose because presenting symptoms are vague and nonspecific
- Transvaginal ultrasonography is the initial imaging modality for women with symptoms of ovarian cancer
- Serum tumour markers can be helpful when a complex ovarian cyst is identified
- The RMI II can be used in primary care to identify women requiring urgent assessment
- Women with a strong family history of breast, ovarian or colon cancer should be referred to a genetic counsellor
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