Penn's Women's Health Newsletter
 

Spring/Summer 2007

Advances in Women's Health: Robotic Gynecologic Surgery
What is Perinatal Depression?
Women's Health includes Heart Health
New Findings to Help Women with PCOS Achieve Pregnancy
Orthopaedic Care:
Penn Physician Focus
Ovarian Cancer Research Center
Clinical Trials & Egg Donation
 

Ovarian Cancer – Why Advanced Research, Early Detection and a Cure Are Critical

Despite advances in chemotherapy, the death rate from ovarian cancer has not changed significantly in more than four decades. In fact, half of all deaths from cancer of the genital tract are due to ovarian cancer.

The statistics related to ovarian cancer are staggering:

  • Ovarian cancer is the fifth leading cause of cancer-related deaths among women.
  • One in 65 women in the United States will develop ovarian cancer.
  • A woman dies from ovarian cancer every 45 minutes in the United States.
  • The majority of women with ovarian cancer are diagnosed with advanced disease (Stage III or IV).
  • Approximately half of the patients with ovarian cancer are diagnosed before the age of 55 and most patients diagnosed with advanced disease do not live longer than two or three years beyond the time of diagnosis.
  • The need for early detection is crucial – if caught in Stage I, the five-year survival rate from ovarian cancer is over 90 percent. If caught in Stage III, the survival rate is less than 20 percent.

The critical factors accounting for these statistics can be summarized as follows:

  • Lack of early detection methods for ovarian cancer
    As a result, two-thirds of patients have advanced disease that has already spread.
  • Lack of prevention methods
    Except for rare hereditary ovarian cancers, we do not understand the cause of ovarian cancer and therefore, cannot define populations of women at risk. Short of removing the ovaries surgically, we do not have effective prevention strategies.
  • Failure of current therapeutics
    The vast majority of patients currently diagnosed with advanced ovarian cancer will fail conventional chemotherapy within one to three years.

Advancing ovarian cancer detection and treatment:
Penn's Center for Research on Early Detection and Cure of Ovarian Cancer

If prevention, early detection and advances in therapeutics for ovarian cancer could be better achieved, the mortality rate of the condition can decrease in years to come. This is why the University of Pennsylvania Health System, Penn's School of Medicine, the Abramson Cancer Center, and the Department of Obstetrics and Gynecology have created the new Center for Research on Early Detection and Cure of Ovarian Cancer.

Directed by George Coukos MD, PhD, the Center's goal is to identify new detection methods, develop new therapies and improve the quality of life for women with ovarian cancer.

The Center provides an infrastructure for ovarian cancer research and treatment and serves as a catalyst, uniting existing talent at Penn and promoting interdisciplinary collaboration in the field of ovarian cancer research.

This new Center provides the following programs:
The ovarian cancer early detection and prevention program and the ovarian cancer advanced therapeutics program develop new detection tools, such as biomarkers and imaging technologies, new prevention methods and new therapeutic approaches. Clinical trials are offered to patients to test the effectiveness of the detection, prevention and therapeutic methods discovered.

The ovarian cancer biology and pathogenesis program aims to understand the pathogenesis (the production and development of disease) and biology of ovarian cancer and feeds the other two programs with ideas and information from which detection, prevention and therapeutic concepts can be developed.

Gynecologic Oncology at Penn - A distinct leader in the field of gynecologic oncology
Penn physicians and scientists are working together to increase our knowledge about gynecologic cancer and to find new ways to prevent and treat the diseases. This combined effort has enabled research advances to more quickly benefit our patients and has made Penn a leader in ovarian cancer research.

About Ovarian Cancer

The vast majority of ovarian cancers are found at advanced stages because early, small ovarian cancers are asymptomatic or have vague symptoms, and cannot usually be found by a physician's exam. It is important to recognize the risk factors of ovarian cancer. Talk to your doctor if any of the following pertain to you:

  • Genetic predisposition
  • Personal or family history of breast, ovarian or colon cancer
  • Increasing age
  • Undesired infertility

Screening

Currently, there is no consistently reliable, accurate screening test to detect ovarian cancer. An annual pelvic exam is recommended for women age 21 and above and annual rectovaginal exam for women age 35 and above.

For women at high risk for ovarian cancer, your physician may recommend one of the following:

  • Transvaginal sonography - An ultrasound performed with a small probe placed in the vagina
  • CA-125 blood test to determine if the level of a tumor marker called CA-125 has increased in the blood

A traditional Pap test does not detect ovarian cancer.

 


 

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Penn's Center for Research on Early Detection and Cure of Ovarian Cancer
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