Ovarian cancer diagnostic process.How to diagnose ovarian cancer? Doctors first asked about the history, understand the basic subjects, including history of exposure to risk factors with or without cancer family history, medical history of ovarian cancer. Doctors should also ask the symptoms, do physical examination. In addition, the following methods in the diagnosis of ovarian cancer can be divided into value, which is diagnosed by ultrasound examination of ovarian cancer means necessary.
How to diagnose ovarian cancer, the common diagnosis of ovarian cancer as follows:
(1) cytology
Vaginal or abdominal puncture after puncture vault to find high positive rate of cancer cells, but puncture easily cause infection. In addition, the perforation caused by the tumor capsule wall easily spill or even cause skin and the puncture site of the planting. Therefore, under normal circumstances do not take this test method. Only with significant symptoms of massive ascites and paracentesis may emit beneficial temporarily alleviate the symptoms of ascites, while feasible cytology and pelvic examination to confirm the diagnosis.
(2) imaging
Ultrasonography is necessary to check the diagnosis of ovarian cancer means. Ultrasound can be judged by tumor size, cystic or solid, and the relationship between the uterus and are per ascites. However, tumors 2 cm or less in diameter ultrasonic diagnosis more difficult. Transvaginal ultrasound, particularly transvaginal color Doppler ultrasound can show blood flow within the tumor, which distinguish benign and malignant has important reference value.
CT examination and magnetic resonance imaging (MRI) examination to determine tumor size, nature, pelvic or metastatic sites and found that the increase of aortic lymph nodes will have a certain value. But the check is expensive, generally not as a necessary check means.
(3) determination of tumor markers check
Including CA125, alpha fetoprotein (AFP), human chorionic gonadotropin (HCG), lactate dehydrogenase (LDH), carcinoembryonic antigen (CEA) and so on.
(4) Laparoscopy
How to diagnose ovarian cancer, when the diagnosis is not clear, you can learn by laparoscopy size and nature of pelvic masses. Can also do a biopsy of suspicious sites, learn to do abdominal fluid cytology, peritoneal and organ surfaces, so as to make more accurate diagnosis and treatment.