ABSTRACT

However, BRCA-associated cancers may be fallopian tube or peritoneal in

origin, limiting the success of ultrasound detection.

CHALLENGES FOR AN OVARIAN CANCER SCREENING TEST

Ovarian cancer remains the most lethal gynecologic malignancy due in large part

to the advanced stage of disease at which patients are diagnosed. For the

minority of patients whose disease is localized to the pelvis, five-year survival

rates approach 70% to 90%, and cure is a tenable goal of therapy. At present,

55% of patients present with advanced stage disease with five-year survival rates

of 35% to 50% (1). Early detection of ovarian cancer, therefore, is an important

goal to improve women’s survival.