O'Rourke Jennifer, Mahon Suzanne M
Clin J Oncol Nurs. 2003 Jan-Feb;7(1):41-7. doi: 10.1188/03.CJON.41-47.
Ovarian cancer is the leading cause of gynecologic cancer deaths and the fifth leading cause of cancer deaths among American women. Advances in surgery and treatment modalities have slightly improved five-year survival rates, but the prognosis for most women continues to be poor. Rectovaginal examination, ultrasound, and the CA-125 blood test are three modalities currently used to screen for ovarian cancer, although no universal ovarian cancer screening guidelines are recommended for the general population. Developments in the early detection of ovarian cancer are emerging and include blood tests that could lead to identifying asymptomatic, early-stage ovarian cancer. Nurses should be knowledgeable about these developments in ovarian cancer as they educate women about ovarian cancer risk, prevention, and early detection.
卵巢癌是妇科癌症死亡的主要原因,也是美国女性癌症死亡的第五大原因。手术和治疗方式的进步使五年生存率略有提高,但大多数女性的预后仍然很差。直肠阴道检查、超声检查和CA-125血液检测是目前用于筛查卵巢癌的三种方式,不过尚未为普通人群推荐通用的卵巢癌筛查指南。卵巢癌早期检测方面的进展不断涌现,包括一些血液检测,这些检测可能有助于识别无症状的早期卵巢癌。护士在向女性传授卵巢癌风险、预防和早期检测知识时,应该了解这些卵巢癌方面的进展。