Sparks J M, Varner R E
Department of Obstetrics and Gynecology, University of Alabama, Birmingham.
Obstet Gynecol. 1991 May;77(5):787-92.
For populations in which preventive measures have been applied for the more common causes of death, the early detection of ovarian cancer becomes the next focus of efforts to reduce premature death among women. Data regarding the effectiveness of ultrasonography in detecting early-stage ovarian cancer are reviewed. Ultrasonography is more sensitive than pelvic examination in detecting ovarian abnormalities but lacks specificity in distinguishing benign from malignant ovarian lesions. Combined with serum CA 125 levels, ultrasonography may provide an effective screening tool, although cost-effectiveness has not been demonstrated and its effectiveness in reducing mortality from ovarian cancer has not been completely evaluated. Guidelines are presented for the use of ultrasonography in evaluating the postmenopausal ovary.
对于已经针对更常见死因采取了预防措施的人群而言，卵巢癌的早期检测成为降低女性过早死亡的下一个努力重点。本文回顾了关于超声检查在检测早期卵巢癌方面有效性的数据。超声检查在检测卵巢异常方面比盆腔检查更敏感，但在区分卵巢良性和恶性病变方面缺乏特异性。结合血清CA 125水平，超声检查可能提供一种有效的筛查工具，尽管其成本效益尚未得到证实，且其在降低卵巢癌死亡率方面的有效性也尚未得到全面评估。本文还给出了超声检查用于评估绝经后卵巢的指南。
