Wednesday, May 4, 2011

Quick search of ovarian cancer can not help survival (Reuters)

NEW YORK (Reuters Health) - a time that a woman begins to feel the symptoms of ovarian cancer, diagnosed and treated rapidly may not help him survive longer, according to a new study of Australian women.


The conclusion is daunting, said researchers, especially because doctors thought that catch more cases of ovarian cancer early can help extend how long women live after the diagnosis.


Ovarian cancer kills the majority of women with the disease in the 5 years.


The results published in the Journal of Clinical Oncology, "do not mean that women who have persistent symptoms which may be due to ovarian cancer should not seek immediate medical attention," Christina Nagle, senior author of the study of the Queensland Institute of Medical Research in Australiatold Reuters Health.


"Present quickly will help ensure that they are mentioned in an appropriate manner and that it can then make choices about their treatment," she said in an e-mail.


Nagle and his colleagues followed nearly 1,500 Australian women who was diagnosed with cancer of the ovary between 2002 and 2005. Researchers interviewed women about their symptoms and when they were first went to the doctor and cancer were diagnosed, and then continued to follow the participants for the next five years.


Most of the women had symptoms before they were diagnosed - in the other, cancer was caught in a balance sheet of routine or during surgery for a different State.


In women with symptoms, approximately 40 percent went to their doctors and examined and diagnosed with cancer of the ovary in the 2 months when the symptoms began. In 3 months, about 60% of women have been diagnosed, and 6 months after the onset of symptoms, 80 percent had been diagnosed.


Women whose cancer was picked up before symptoms began survive longer than those who had symptoms. For example, all women with late stage cancer, those without symptoms experienced an average of 4 years after their diagnosis, compared to 3 years for women with symptoms.


But among those who have been symptomatic invasive cancer, survival is not dependent on how much time they have seen their doctor.


Fifty - two percent of women who have been diagnosed in 1 month of their first symptoms have survived for the next 5 years, compared to 53 per cent of women who took more than a year to be diagnosed.


Nagle, said that his team suspected that once the cancer is advanced enough to cause symptoms, it may be too late for treatment help most patients live longer.


However, women can still get symptoms - such as the daily stomach or pelvic pain, pelvic bloating or fullness or difficulty dining - the early stage of cancer, and for them, it is possible that a quick diagnosis may improve outcomessaid Mr. Robyn Andersen, who studied the ovarian cancer at the University of Washington in Seattle and was not involved in current research.


Women who have new and persistent symptoms she said, should still see their doctors.


And even if there is no ultimate change in how long women cancer ovarian does survive, treatment and early diagnosis is always important, Andersen said.


"Getting someone quickly and without delay to correct treatment helps them to be feeling better work with their team of doctors, help to start their battle with cancer, in a far better place" she told Reuters Health. "It is a question of quality of life for patients with cancer to be diagnosed quickly."


According to the National Cancer Institute, approximately 22,000 new cases of ovarian cancer were diagnosed last year.


Tumors or abnormal growths can first be detected during a normal pelvic exam, or Imaging by ultrasound. A blood test to detect a substance called CA 125, which can be a sign of some cancers, is still in the study as a diagnostic tool, according to the National Cancer Institute.

Because the disease is relatively rare and the benefits of uncertain early detection, the U.S. Preventive Services Task Force, a group of Federal experts, recommends not that women regularly screened for cancer of the ovary.


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