CIGNA HEALTHCARE COVERAGE POSITION Subject Transvaginal Ultrasound for Ovarian and Endometrial Cancer Screening or Surveillance
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Transvaginal ultrasound measurement of endometrial thickness as a biomarker for estrogen exposure.
OBJECTIVE In clinical settings, transvaginal ultrasound has been used to evaluate abnormal vaginal bleeding. Because the endometrium responds to estrogens, endometrial thickness may constitute a biomarker of estrogen status in postmenopausal women. This study aimed to validate the transvaginal ultrasonographic measurement of endometrial thickness as an estrogen biomarker in asymptomatic, postme...
متن کاملOvarian cancer screening.
Annual screening of asymptomatic postmenopausal women using a combination of transvaginal sonography and serum Ca-125 has been evaluated in 4 major clinical trials as a means to facilitate earlier detection of ovarian cancer. In several trials, screening has caused a decrease in stage at detection. These ovarian cancer screening trials are reviewed. The effect of screening on ovarian cancer mor...
متن کاملI-42: Cardinal Manifestations of Endometriosis Transvaginal Ultrasound
Endometriosis is a common benign gynecologic disorder, defined by endometrial glands and stroma outside of the endometrial cavity. The three primary types of endometriosis are superficial peritoneal lesions, ovarian endometriomas, and deep infiltrating endometriosis (DIE).Although laparoscopy continues to be the gold standard for the diagnosis of endometriosis, transvaginal ultrasonography show...
متن کاملScreening for ovarian cancer.
Ovarian cancer is the leading cause of death from gynaecological malignancies. No precancerous lesions have been identified. Bimanual examination has not been proven to be of value as a screening test. Transvaginal ultrasound examination, with or without measurement of CA 125 levels, is currently being evaluated for population screening. Women at high risk of ovarian cancer should be screened a...
متن کاملOvarian volume: determinants and associations with cancer among postmenopausal women.
Clinical studies have reported associations between ovarian stromal hyperplasia and the diagnosis of hormonally related tumors such as endometrial cancer. To assess the hypothesis that characteristics of benign ovaries among postmenopausal women are related to risk for breast, endometrial, and colon cancer, we analyzed systematically collected transvaginal ultrasound data for participants enrol...
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تاریخ انتشار 2007