Current and Emerging Strategies for Tubo-Ovarian Cancer Diagnostics

Tubo-ovarian cancer is the most lethal gynaecological cancer. More than 75% of patients are diagnosed at an advanced stage, which is associated with poorer overall survival. Symptoms at presentation are vague and non-specific, contributing to late diagnosis. Multimodal risk models have improved the...

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Main Authors: Mark R. Brincat, Ana Rita Mira, Alexandra Lawrence
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/21/3331
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author Mark R. Brincat
Ana Rita Mira
Alexandra Lawrence
author_facet Mark R. Brincat
Ana Rita Mira
Alexandra Lawrence
author_sort Mark R. Brincat
collection DOAJ
description Tubo-ovarian cancer is the most lethal gynaecological cancer. More than 75% of patients are diagnosed at an advanced stage, which is associated with poorer overall survival. Symptoms at presentation are vague and non-specific, contributing to late diagnosis. Multimodal risk models have improved the diagnostic accuracy of adnexal mass assessment based on patient risk factors, coupled with findings on imaging and serum-based biomarker tests. Newly developed ultrasonographic assessment algorithms have standardised documentation and enable stratification of care between local hospitals and cancer centres. So far, no screening test has proven to reduce ovarian cancer mortality in the general population. This review is an update on the evidence behind ovarian cancer diagnostic strategies.
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spelling doaj.art-5ed2299ab4b145e58e69669e675cac222023-11-10T15:01:00ZengMDPI AGDiagnostics2075-44182023-10-011321333110.3390/diagnostics13213331Current and Emerging Strategies for Tubo-Ovarian Cancer DiagnosticsMark R. Brincat0Ana Rita Mira1Alexandra Lawrence2Department of Gynaecological Oncology, Royal London Hospital, Barts Health NHS Trust, London E1 1FR, UKDepartment of Gynaecological Oncology, Royal London Hospital, Barts Health NHS Trust, London E1 1FR, UKDepartment of Gynaecological Oncology, Royal London Hospital, Barts Health NHS Trust, London E1 1FR, UKTubo-ovarian cancer is the most lethal gynaecological cancer. More than 75% of patients are diagnosed at an advanced stage, which is associated with poorer overall survival. Symptoms at presentation are vague and non-specific, contributing to late diagnosis. Multimodal risk models have improved the diagnostic accuracy of adnexal mass assessment based on patient risk factors, coupled with findings on imaging and serum-based biomarker tests. Newly developed ultrasonographic assessment algorithms have standardised documentation and enable stratification of care between local hospitals and cancer centres. So far, no screening test has proven to reduce ovarian cancer mortality in the general population. This review is an update on the evidence behind ovarian cancer diagnostic strategies.https://www.mdpi.com/2075-4418/13/21/3331ovarian cancerscreeningdiagnosisbiomarkersimaging
spellingShingle Mark R. Brincat
Ana Rita Mira
Alexandra Lawrence
Current and Emerging Strategies for Tubo-Ovarian Cancer Diagnostics
Diagnostics
ovarian cancer
screening
diagnosis
biomarkers
imaging
title Current and Emerging Strategies for Tubo-Ovarian Cancer Diagnostics
title_full Current and Emerging Strategies for Tubo-Ovarian Cancer Diagnostics
title_fullStr Current and Emerging Strategies for Tubo-Ovarian Cancer Diagnostics
title_full_unstemmed Current and Emerging Strategies for Tubo-Ovarian Cancer Diagnostics
title_short Current and Emerging Strategies for Tubo-Ovarian Cancer Diagnostics
title_sort current and emerging strategies for tubo ovarian cancer diagnostics
topic ovarian cancer
screening
diagnosis
biomarkers
imaging
url https://www.mdpi.com/2075-4418/13/21/3331
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