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Clinical Decision Making Using Ovarian Cancer Risk Assessment

¹ All authors: Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Walter Reed Army Medical Center, 6900 Georgia Ave. NW, Bldg. 2, Rm. 2106, Washington, DC 20307-5001.

OBJECTIVE. Although any adnexal abnormality found at imaging can be concerning for an ovarian malignancy, the clinician must perform an evaluation to decide if the actual likelihood of malignancy justifies the risk of surgery. When determining the likelihood of an asympto matic, incidental adnexal mass being malignant, the provider must answer one important question: Do the clinical findings warrant the potential morbidity of surgery? This article will focus on the decision making that goes into such an evaluation.

CONCLUSION. A patient's medical history, physical examination, CA-125 level, and imaging characteristics are all factors that impact the ultimate decision of whether a patient can be observed with repeat imaging or should proceed to surgical evaluation.

Keywords: CA-125 level • ovarian cancer • risk assessment • screening

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				P. J. Pickhardt and M. E. Hanson Incidental Adnexal Masses Detected at Low-Dose Unenhanced CT in Asymptomatic Women Age 50 and Older: Implications for Clinical Management and Ovarian Cancer Screening Radiology, July 27, 2010; (2010) radiol.10100511v1. [Abstract] [Full Text]