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ML step to decrease the risk for ovarian cancer in the 60s in pt who is currently a 28 medical student, G1, P1, 164 cm tall, and 63 kg in weight with no other family members on both mother and father sides? She practices contraception via a diagphragm, drinks a 1 glass of wine daily and has no other abnormalities?
1. diet of low fat
2. diet of low carbohydrate
3. no alcohol
4. oral contraceptive use
5. ovaries removal
6. weight loss
7. q 6 mo of serum CA125 measurement
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can't post if too slow to answer ...
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4 because prevents ovulation. less ovulation=less risk
...and OCPs known to be protective for ovarian CA.
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--CAUSE OF OVARIAN CARCINOMA IS EXCESSIVE OVULATION -SO THAT ONE OF THE PORTION MAY UNFORTUNATELY BECOME OVERACTIVE OR OVER STIMULATED WITH UNDIFFERENCIATED CELL FORMATION AND BECOME MALIGNANT--SO TO PREVENT THAT SUPPRESSION OF OVULATION CAN BE BENEFICIAL FOR FUTURE PREVENTION OF OVARIAN CARCINOMA
--OVARIES -REMOVAL IS NOT A SOLUTION--THEN IT WILL BE LIKE SAYING THAT PREVENTION OF GALL STONE WILL BE REMOVAL OF GALL BLADDER----- BESIDES AFTER MENOPAUSE THEY WILL ATROPHY BY THEMSELVES--OVARIAN CA IS A PERIMENOPAAUSAL CA
WEIGHT LOSS IS FOR PCOS
CA 125 IS GETTING POPULAR BUT IN PT WITH FAMILY HISTORY--IT IS NOT A GOOD WAY TO SCREEN A CASE OF OVARIAN CA --IT IS NOT SENSITIVE ENOUGH
