OVARIAN CANCER

I. Overview

With the aging of the global trend of development, improve the economic status of women, more and more women start hormone replacement therapy (Hormone Replacement Therapy, HRT), to improve access to after menopause due to the decrease in the level of sex hormones related to various diseases. Clear evidence that: postmenopausal women with age, the incidence of coronary heart disease increased by about four times the fracture due to osteoporosis by 20%, died of complications due to pelvic fracture rate of 30%, after the 65-year-old Alzheimer's incidence rate increase every year <BR> and Application HRT can peer groups coronary heart disease risk 50% Alzheimer's risk reduced three times, especially worth mentioning is significantly reduced the incidence of rectal cancer. Long-term use of HRT cancer risk reduced year by year. HRT can also greatly improve the menopause, postmenopausal women with disease or ovarian surgery, radiotherapy in patients with a series of artificial menopause syndrome.

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Swedish experts recently warned that, for those with breast or ovarian cancer family history of the young women, if they have been diagnosed with breast cancer, then their risk of ovarian cancer risk would be significantly increased by 10 times. So even the experts recommended that certain breast cancer patients may be necessary for the prevention of suffering from such as ovarian cancer
Preventive measures. Kjell Bergfeldt Karolinska Institute, Doctor of Medicine, in its study of more than 30,000 cases compared 70 patients with breast cancer under the age of the medical records, and also whether their immediate family members with breast cancer or ovarian cancer cases were investigated. The results showed that if their mothers, sisters or daughters of people with breast cancer or ovarian cancer, who before the age of 40 was diagnosed with breast cancer before the age of 70 women with ovarian cancer risk will increase six-fold and 17-fold. Relevant experts believe that the discovery confirmed the existence of two types of cancer among some related links. Previous studies have already noted, carrying the BRCA1 or BRCA2 gene mutations in breast cancer patients with about 40% of people will be suffering from ovarian cancer.

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Dietary calcium most women suffering from ovarian cancer may be smaller than the lowest 54%, although further research needed to confirm the diet may be especially useful components.

"These findings show that intake of low-fat milk, calcium or lactose may reduce the risk of ovarian cancer," the University of Hawaii Honolulu, the United States Goodman (marc t.goodman) and colleagues think: Women's daily recommended amount of calcium, 1000-1200mg may be sufficient to reduce ovarian cancer risk. "As part of overall health, women are advised to monitor the daily dietary levels of calcium to reduce osteoporosis and other related disease. If women can maintain the recommended amount of calcium, there is a benefit may reduce their risk of ovarian cancer. "

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Breast cancer screening time <BR> <BR> that breast cancer screening, women will think about breast self-examination. To promote breast self-examination has some significance to the advancement of women on the importance of breast health. But if not taught women how to correctly implemented, it is very dangerous. The American Cancer Medicine will not touch themselves, worries that if women should consult their doctors. Many studies have found that women can correct implementation of breast self-examination rate is not high, the United States is only about 32%.

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Ovarian cancer is prone than Caucasian Europe and the United States, but recently the Taiwan people with the risk of ovarian cancer is also gradually increasing its greatest danger is early diagnosis difficult, in addition to using ultrasound, CT, even tumor marker CA-125 is very difficult to predict from, although tumor marker right up inspection Broken disease not help, but CA-125 in assessing treatment efficacy rather than tomography or ultrasound also accurate.
This is in Copenhagen, Denmark Gronlund's research team recently proposed to the report, 68 of ovarian cancer patients, topotecan plus carboplatin or paclitaxel in ovarian cancer with chemotherapy on the second line, tomography, ultrasound, or serum CA-125 concentration to assess the efficacy of chemotherapy results found that CA-125 concentrations than expensive tomography or complex sonography in predicting survival, 2.6 times more accuracy.

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Kikuchi, the Japanese report, have received platinum multidrug chemotherapy for recurrent ovarian cancer Japanese women, a weekly carboplatin and paclitaxel chemotherapy in a meeting, can significantly prolong survival, and patients can be tolerated. (Int J Cancer YORK 2005,15:45)

The case control study included surgery and platinum-based adjuvant chemotherapy complete remission for at least 6 months after the recurrence of ovarian cancer patients. Of the 68 patients, 27 patients received a weekly meeting of Taxol and carboplatin chemotherapy (WTJ) (Group I), carboplatin (AUC area under the curve for 2) plus paclitaxel (80 mg/m2); The remaining 41 patients (Group II) to platinum-based (P ) other chemotherapy, 37 patients with CAP program, a monthly meeting of carboplatin and paclitaxel program four cases.

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NEW YORK - According to Reuters

A large-scale study showed that the use of drugs to stimulate ovulation and secondary ovarian cancer are not so much.

"Our conclusion is, as previously indicated that some of the limitations of the Institute, as it basically reassuring, confirmed that the use of ovulation-no greater risk of ovarian cancer," the first study, the National Cancer Institute Brinton (Louise A. Robinson), told Reuters . He and his colleagues in the 12,193 women conducted a retrospective cohort study by the above findings. These women average 30-year-old rose - 1988 between infertile because accept the assessment.

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" Cancer, "a magazine published care Ovarian cancer.

A total of 80,326 women aged 30-55 who participated in the study began in 1976. Subjects in 1980,1984,1986 and 1990 to complete the consumption frequency of the survey questionnaire. In more than 16 years of follow-up period in subjects with 527 cases of ovarian cancer.

Boston, Harvard University Kathleen M. Fairfield School of Medicine and colleagues, multivariate analysis showed that: intake of vitamin A, vitamin C or beta-carotene and the risk of ovarian cancer unrelated.

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Some of the past and the conception of ovarian cancer often have different results, but American experts recently completed a comprehensive analysis of a large-scale study, it showed that drug use and pregnancy do not increase the risk of ovarian cancer risk, the real danger is the fact some of the leading causes of infertility, such as the womb ectopic membrane realistic models.

The study report will be published on February 1 in the "American Epidemiological" magazine. University of Pittsburgh Graduate School of Public Health epidemiology professor Roberta Ness, in the study of eight experiments involving about 13,000 cases of women's medical records for a comprehensive comparative analysis.

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Primary tubal cancer is scarce. This cancer patients, the average age is 50 to 60 years old. Risk factors not yet well defined, however, chronic salpingitis or other inflammatory diseases (such as tuberculosis) may cause. Patients can have a long history of infertility.

Over 95% of the fallopian tube cancer is papillary serous adenocarcinomas; The minority is sarcoma. Its diffusion and similar ovarian cancer, tubal carcinoma can be directly extended disseminated, or through lymphatic vessels. With ovarian cancer staging similar symptoms, signs and diagnosis

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