Prediction of Ovarian Neoplasm by TVU Morphology Results and CA 125 Levels
(TVU) at the initial screen and the 1566 women found to have an abnormal result at subsequent screens among the
39,115 women receiving both tests and having ovaries present in the intervention arm of the Prostate, Lung, Colorectal,
and Ovarian (PLCO) Cancer Screening Trial.
In this large trial, a positive screen was defined as CA125 > 35 U/ml; ovarian or cyst volume > 10cm3; or, solid areas,
papillary projections, or mixed components within a cystic ovarian tumor of any size. We attempted to determine further
criteria for establishing risk of malignancy in asymptomatic postmenopausal women following an abnormal screen, and
calculated sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of the