How reliable is ovarian cance that is being detected when you have a CT scan and ultrsound?

I other words can ovarian cancer be tetected on the CT scan and ultrasound? I heard it is hard to diagnose. Can it come up a cyst? Becasue I have unulual fluid in my right ovarie, and needs further tests. Now I just want to know can cysts show up on the scan that could be cancer? They said a small amount of non specific free fluid was seen in the Pouch of Douglas. So my right overie is bigger than my left one. Please help me here. I have an appointment to go back to the doctors on Thursday next week, and a gyni appointment next month. I have PMT cramps everyday, and indigestion, and bloated so bad, and lower back pain. So are these scans reliable to pick up ovarian cancer? If not can they just show up some abnormality like a cyst?

How reliable is ovarian cance that is being detected when you have a CT scan and ultrsound?
The CT and the ultrasound show abnormalities in the ovaries and the areas around.


Sometimes the results are very clear: 'It's a cyst and don't worry about it, but we should remove it.' Or: 'This really looks like cancer, we need to remove it and make sure."





Sometimes the results show cysts and masses that aren't that easy to define-they are more complex than just a simple cyst, they have other features, They look like they could be cancer, but not for sure, they are more dense, less dense, too big, too small to be easily classified. In those cases they will want to do more testing.





It the radiologist who reads the films thinks that something looks cancerous he/she will ususally add line in that says something like "suspicious for malignancy.' That is a tip-off to worry, for sure.





My understanding of ovarian cancer is that it is hard to detect in its early stages because it doesn't cause a lot of symptoms. But it is not particularly hard to diagnose once the doctor starts looking for it.





So, I'm just a nurse, not a ovarian cancer expert, but here's my advice:


If your doctor has looked at your CT and ultrasound and doesn't think that you have cancer, then a return visit next week and a gyn visit next month is fine. But if he is suspicious about cancer, then that is wayyyyy to slow. Why don't you give him a call and ask his opinion about the films? Its not reasonable to have to wait a week, wondering.





And even if your doctor thinks it is just cysts and stuff, you can call the gyn office and explain that you are having so many problems and such pain. Perhaps they can get you in earlier.





Good luck to you. I really hope it turns out to be something easily treated.





MM
Reply:Usually the doctors "looksie" exam is the best way to know if something is not right, usually done with the pap/yearly exam. Then they'll do an ultrasound. The CT scan- wouldn't be the best choice. The ultrasound would. They can see and place size of everything better. And they'll probably do an endovaginal ultrasound- instead of just moving it over the skin. (if the pain's subdued). That'd probably be the best way of finding it.
Reply:Ask for a CA125 blood test- a test with a high score would indicate the presence of cancer cells


http://www.labtestsonline.org/understand...


My mother died of ovarian cancer, so I am tested annually because of the history of the disease in my family.


Good luck
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Reply:MRI scan. Biopsy test, CT scan are the tests of efficiency in the order of priority in diagnising the cancer. Before the beginning of the treatment, it is better to have a second opinion from a technically competent oncologist.