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  • Q&A with Australian Health Practitioners

    Is this a sign of ovarian cancer?

    Related Topics
    Menopause Ovarian Cancer
    I am post menopause and had a pelvic USG. Found mild simple free fluid in pod 3 mm. My ca 125 is 8. Is this a concern for ovarian cancer?
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    Thanks

    Dr Joseph Jabbour

    Gynaecologist, Gynaecologist - Infertility (IVF) Specialist, Obstetrician

    Dr Joseph Jabbour is a specialist Obstetrician & Gynaecologist and Fertility Specialist with Monash IVF situated in Sunnybank (Brisbane Southside). Dr Jabbour has had the … View Profile

    When it comes to establishing the risk of ovarian cancer there are a few important findings that we look at on ultrasound and blood tests. We refer to this as the Risk Malignancy Index for an ovarian cancer. There is also the ROMA test which looks at another blood test, the HE4.

    Firstly, the ultrasound scan should reveal an ovarian cyst. Depeding on the appearance of the cyst we can further stratify the risk: is it solid, complex and multilocular, and bilateral. Are there any signs of metastasis in the abdomen and is there ascites (fluid in the abdomen). 

    Secondly we look at the patient's menopausal state: Premenopausal has a low risk and post menopausal has double the risk.

    Thirdly we look at the level of CA-125. A level less than 25 is okay. 

    Therefore to answer your question (you did not mention the presence of an ovarian cyst) I would not be concerned about a diagnosis of ovarian cancer. The level of CA-125 is low as well. 

    I hope this answers your question. 

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