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Post a Comment The importance of the regularity of preventive examinations in the early diagnosis of ovarian cancer
- Authors: Statnykh N.V.1, Padrul M.M.2, Kobaidze E.G.3, Galanova V.Y.4
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Affiliations:
- Perm State Medical University
- Y.A. Vagner Perm State Medical University
- E.A. Vagner Perm State Medical University
- Clinical District Hospital of Sverdlovsk Region
- Issue: Vol 40, No 2 (2023)
- Pages: 83-91
- Section: Preventive and social medicine
- URL: https://journals.rcsi.science/PMJ/article/view/254830
- DOI: https://doi.org/10.17816/pmj40283-91
- ID: 254830
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Abstract
Objective. To show the importance of regularity of preventive examinations in early diagnostics of ovarian cancer. Malignant ovarian tumors occupy the third place in the frequency of occurrence among the gynecological tumors after cancer of the uterine body and cervix but they leave them behind with regard to the mortality rate. Detection of the disease at late stages leads to only 17 % five-year survival rate in Europe and Russia.
Materials and methods. A prospective study was conducted on the basis of the Gynecological Unit of Perm Regional Oncological Dispensary. It enclosed 50 patients aged 45 to 77 years, operated for ovarian cancer with various stages of the disease. The following methods were used: collection of complaints and anamnesis, study of outpatient cards and medical histories, assessment of morphological conclusions.
Results. According to the anamnesis, all patients represented a risk group for ovarian cancer. The annual gynecological preventive examination was carried out in 40 % of patients, ultrasound examination of the pelvic organs was performed in 28 % of cases. The smallest group,10 % of patients, was a group of patients with stage I of the disease and asymptomatic course of pathology, who underwent preventive examinations and ultrasound in 100 % of cases. The largest number of patients had stage III – 40 %, annual preventive examinations were carried out in 20 % of women of this group without ultrasound examination of the pelvic organs. In 64 % of cases, a late examination by a doctor was detected – a year or more after the symptoms of the disease occurred. Patients with stages III and IV of the disease were postmenopausal, were unemployed and lived in rural areas.
Conclusions. The absence of symptoms at an early stage of ovarian cancer and late onset of treatment with the complaints available actualizes the need for annual preventive gynecological examinations with mandatory ultrasound verification of the diagnosis to identify the disease in time.
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##article.viewOnOriginalSite##About the authors
Natalya V. Statnykh
Perm State Medical University
Email: nasarasha@yandex.ru
ORCID iD: 0000-0001-7760-226X
SPIN-code: 2598-1635
cand. Med. Sci., associate professor of the Obstetrics and Gynecology Department №1
Russian Federation, PermMikhail M. Padrul
Y.A. Vagner Perm State Medical University
Email: m-padrul@mail.ru
SPIN-code: 3347-1977
MD, PhD, DSci (Medicine), Professor
Russian Federation, PermE. G. Kobaidze
E.A. Vagner Perm State Medical University
Email: eka7i@yahoo.com
ORCID iD: 0000-0001-5042-1549
SPIN-code: 1585-3296
Scopus Author ID: 57219650638
MD, PhD, Professor, Department of Obstetrics and Gynecology № 1
Russian Federation, PermVlada Y. Galanova
Clinical District Hospital of Sverdlovsk Region
Author for correspondence.
Email: vlada9890@gmail.com
district doctor, therapeutist
Russian Federation, PermReferences
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