What tests are done to diagnose or rule out ovarian cancer, uterine cancer?

1. Endometrial cancer occurs predominantly after the menopause and 25% of cases occur in premenopausal women. Symptoms of endometrial cancer are most often irregular and profuse purulent discharge, spotting and bleeding in premenopausal women, and in older women bleeding after the end of menstruation may be an alarming symptom. Thetransvaginal ultrasound scanis used in the initial diagnosis. In order to confirm the diagnosis, it is necessary to collect material for histopathological examination during the curettage of the uterine cavity or hysteroscopy.

2.Ovarian canceris asymptomatic at the beginning of the disease - when it shows symptoms, they are not very characteristic and can be easily confused with gastric problems. Women complain of constipation, flatulence, pain in the lower abdomen, a feeling of fullness in the abdomen. In basic diagnostics we usegynecological examination ,gynecological ultrasoundandROMA test , i.e. two combined tests of tumor markers: Ca 125 and HE4. Additional examinations are often recommended: magnetic resonance imaging, computed tomography, urography, chest X-ray. Regards

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Alina Krychowska-Ćwikła, MD, PhD

Specialist-obstetrician at the Ursynów Surgical Center and Gynecology and Obstetrics Clinic SPZOZ Warszawa-Ursynów, assistant professor at the Department of Gynecology and Obstetrics at the Faculty of He alth Sciences at the Medical University of Warsaw, editor of the Science and Didactics section of the quarterly "Obstetrician. Science and practice ”PZWL. I see at the Polmed Medical Center.

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