Martin Hrehorčák, Lukáš Rob, Helena Robová
There are several moments in the management of ovarian cancer patients: 1. Early and accurate preoperative diagnosis 2. Proper surgical management and histopathological evaluation 3. Adequate adjuvant treatment, secondary surgery and rigorous follow-up Preoperative diagnosis is based on the evaluation of patients’ age, clinical status, physical examination, and ultrasound and serum markers assessment. To refute suspicion on the malignant disease we employ all the relevant methods. High sensitivity and specificity of ultrasound evaluation and serum markers assessment has been repeatedly proven. Various scoring systems based on the morphological patterns and doppler criteria have been introduced. However qualified opinion of experienced expert exceeds in sensitivity and specificity all the attempts to objectify ultrasound examination. It is important to select “hard to differentiate” findings and refer those cases to the institution with sufficient expertise and adequate equipment.