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Overcome challenges in screening for ovarian cancer
Medscape (Free login required)
Authors of a study involving 39,337 women who enrolled in the University of Kentucky Ovarian Cancer Screening Program concluded that low-risk patients can probably be safely followed with serial ultrasounds; and if there is an increase in size or complexity of the mass or if new clinical symptoms develop, surgery can be performed to establish the correct diagnosis. High-risk patients should undergo surgical evaluation when suspicion is raised based on imaging studies or clinical symptoms. The management of intermediate-risk patients remains difficult. In their case, serial ultrasounds with close follow-up and a low threshold for surgery could be recommended.
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PRACTICE


SGO issues top 5 Choosing Wisely recommendations
HealthDay via Medical Xpress
The top five gynecologic oncology-related issues that physicians and patients should question have been released by the Society of Gynecologic Oncology as part of the Choosing Wisely campaign. A "Cost of Care" workgroup reviewed the literature to identify areas of overutilization or unproven clinical benefits, as well as areas of underutilization in relation to evidence-based guidelines. The data were evaluated and a list of five topics were agreed upon by the clinical practice committee and the SGO Board of Directors.
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No advantage with asymptomatic screening for ovarian cancer
Clinical Oncology News
Screening of asymptomatic women for ovarian cancer may cause more harm than good. A recent study determined that screening results in unnecessary surgery and that no advantage to early diagnosis was found. Substantial patient anxiety is associated with false-positive screening results, the authors noted.
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HPV


Doctors slow to embrace recommended HPV testing
NPR
For decades the annual Pap test was women's chief protection against cervical cancer. That all changed when a test for human papillomavirus, the cause of most cervical cancer, was approved in 2003. With the HPV test, women don't need to get Pap tests as often. But that message hasn't gotten through to many doctors.
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2 Wisconsin sisters claim a cervical cancer vaccine caused ovaries to function improperly
The Washington Post
Two Wisconsin sisters have filed a federal claim, saying they believe a cervical cancer vaccine caused their ovaries to stop producing eggs. Madelyne Meylor, 20, and Olivia Meylor, 19, both of Mount Horeb, claim their condition came from the Gardasil vaccine for the human papillomavirus, or HPV. Their attorney, Mark Krueger, told the newspaper it is the first allegation of its kind to reach a hearing through the National Vaccine Injury Compensation Program, a special court established to evaluate claims of harm from vaccines.
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GENETICS


PARP inhibitor shows promise in treatment of breast, ovarian cancers
Healio
The novel PARP inhibitor BMN 673 improved response in patients with BRCA-related breast and ovarian cancers, according to study results presented at the International Conference on Molecular Targets and Cancer Therapeutics.
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PREVENTION


Experts: Vitamins don't prevent heart disease or cancer
NBCNEWS.com
There's not much evidence that vitamins can prevent heart disease or cancer — the two leading killers of Americans, experts said Monday. Even though half the U.S. population pops vitamins in the belief they can help people live longer, healthier lives, a very extensive look at the studies that have been done show it may be a waste of time when it comes to preventing the diseases most likely to kill you.
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HEALTH POLICY


Despite health law, uninsured rely on prevention care patchwork
NPR
The federal health law gave a huge boost to insurance coverage for preventive care, mandating that nearly all health plans provide cancer screenings, checkups and, more controversially, contraceptives to people without an extra charge. But those requirements won't help the 30 million or so people who are expected to remain uninsured despite the law. They will still lean on a patchwork of prevention services whose federal and state funding are anything but certain.
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Women's Cancer News
Colby Horton, Vice President of Publishing, 469.420.2601
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