Using a blood test and ultrasound showed promise for detecting ovarian cancers at an early stage, researchers say.
It is estimated that 1,700 deaths from ovarian cancer will occur this year, according to the Canadian Cancer Society.
About 70 per cent of women with ovarian cancer are diagnosed with advanced stage disease, and their chance of long-term survival is 20 to 30 per cent, the researchers said.
Two years ago, Monique Lefebvre found out she had ovarian cancer. She was diagnosed at Stage 4, with zero being the best and four being the worst.
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“I’m considered to be very lucky to be still alive because ordinarily it’s a question of months,” Lefebvre said.
Currently, there is no effective screening test to detect the disease early.
In Tuesday’s online issue of The Lancet Oncology, researchers in the U.K. assessed the effect of two screening strategies: the CA125 blood test with transvaginal ultrasound.
The study included about 200,000 women aged 50 to 74 across the United Kingdom from 2001 to 2005. About 100,000 of those women received no screening tests.
The other half were split into two groups, with 50,000 screened with a blood test. If the results pointed to an abnormality then they also had an ultrasound.
The remaining women received only ultrasounds.
Life saving?
Among women who had a blood test first, cancer was found in 38 cases. In the ultrasound only group, 32 cases of cancer were detected.
The blood test picked up 89 per cent of the ovarian cancers (34 out of 38), compared with 75 per cent for ultrasound (24 out of 32).
Almost half of the cancers detected were at an early stage, the researchers said, compared with about 15 per cent that are normally found at that point.
“Picking up cancer early is a prerequisite to saving lives,” said Ian Jacobs, one of the study’s authors and dean of health sciences research and director of the Institute for Women’s Health at University College London. “But the question is, is this early enough?”
Costs to be weighed
Researchers won’t know if the early detection saves lives until the trial ends in 2014.
“Analysis of the psychosocial impact and cost effectiveness of these strategies is currently underway,” the study’s authors concluded.
“The results of ongoing screening are required before a conclusion can be drawn regarding the effect of screening on mortality.”
If so, experts will also have to consider whether the benefits outweigh the cost of the screening program, including whether people will have unnecessary surgeries or psychological distress, said Robert Smith, director of cancer screening at the American Cancer Society.
If the tests are offered across Canada and are done by qualified people, incidence of the deadly disease could be impacted, said Dr. Gerald Stanimir, a gynecologic oncologist at the McGill University Health Centre in Montreal.
The research was mainly funded by Britain’s Medical Research Council, Cancer Research UK and the Department of Health.
Several companies are seeking approval from the U.S. Food and Drug Administration to sell the blood tests.
Source: cbc.ca
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