Kwon Janice S
Division of Gynecologic Oncology, University of British Columbia, Vancouver, British Columbia, Canada.
Clin Obstet Gynecol. 2017 Dec;60(4):780-788. doi: 10.1097/GRF.0000000000000317.
Ovarian cancer remains to be the most lethal of all gynecologic malignancies. There is no effective screening test proven to reduce the mortality associated with this disease. Costs of treating ovarian cancer are substantial and among the highest of all cancer types. Therefore, it is essential to pursue strategies to prevent ovarian cancer that are cost-effective in the context of our health care system. There are 2 subgroups of women for whom ovarian cancer prevention strategies have been evaluated for effectiveness and costs: (1) general population at risk, and (2) BRCA mutation carriers with a high lifetime risk.
卵巢癌仍然是所有妇科恶性肿瘤中致死率最高的。目前尚无经证实能降低该疾病相关死亡率的有效筛查测试。治疗卵巢癌的费用高昂,在所有癌症类型中位居前列。因此,在我们的医疗保健系统背景下,寻求具有成本效益的卵巢癌预防策略至关重要。有两类女性群体的卵巢癌预防策略已在有效性和成本方面得到评估:(1)有风险的普通人群,以及(2)终生风险高的BRCA突变携带者。