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38 Current Issues in Gynecology: Screening for Ovarian Cancer in the Average Risk Population and Diagnostic Evaluation of Postmenopausal Bleeding

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Evidence-Based Imaging

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Key Points

Current data do not support ovarian cancer screening in women who are at average risk, with any screening regimen (moderate evidence). Transvaginal ultrasound (TVUS) is preferred as the initial test in evaluating women with postmenopausal bleeding (PMB) who are not on tamoxifen (moderate evidence). Histologic sampling is necessary in women with PMB and a positive TVUS (moderate evidence). Hysteroscopy and curettage is the preferred diagnostic test over Pipelle endometrial biopsy, to detect polyps and other benign lesions (limited evidence). In women with PMB and tamoxifen use, hysteroscopy and curettage is preferred as the initial diagnostic test (limited evidence).

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Authors and Affiliations

  1. Department of Radiology, University of Michigan Health System, 1500 E. Medical Center Drive, UH B2 A209/5030, Ann Arbor, MI, 48109, USA

    Ruth C. Carlos

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  1. Ruth C. Carlos
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Correspondence to Ruth C. Carlos .

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Editors and Affiliations

  1. , Department of Radiology, Miami Children's Hospital, SW 114 Street 7420, Miami, 33156, Florida, USA

    L. Santiago Medina

  2. Harborview Medical Center, Department of Radiology, University of Washington, Ninth Avenue 325, Seattle, 98104-2499, Washington, USA

    C. Craig Blackmore

  3. , Department of Radiology, Emory University School of Medicine, 1364 Clifton Road, NE Suite D112, Atlanta, 30322, USA

    Kimberly Applegate

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Carlos, R.C. (2011). 38 Current Issues in Gynecology: Screening for Ovarian Cancer in the Average Risk Population and Diagnostic Evaluation of Postmenopausal Bleeding. In: Medina, L., Blackmore, C., Applegate, K. (eds) Evidence-Based Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7777-9_38

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  • DOI: https://doi.org/10.1007/978-1-4419-7777-9_38

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