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Ovarian Cancer & Transvaginal Ultrasound: Accuracy & Limitations
Transvaginal ultrasound (TVUS) is a primary tool for ovarian evaluation but can miss cancers due to:
- Limited field of view: Some tumors hard to visualize.
- Operator dependency: Skill/experience affects detection.
- Tumor characteristics: Mucinous/borderline tumors may appear benign.
- Coexisting conditions: Fibroids, bowel loops obstruct view.
- Early stage: Small tumors confined to ovaries are less detectable.
TVUS is combined with CA-125 blood test, pelvic exam, and sometimes CT/MRI for better accuracy.
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