Sorry Tim, cannot agree with this approach.  We should be looking at the evidence and acting appropriately.

The evidence is that it is not helpful to do Ca 125 in this scenario.  Ca 125 is not a diagnostic test and to do it may only result in increased patient anxiety when an elevated Ca 125 is reported.

Best wishes

Douglas


Dr D Thompson
Principal Biochemist
Clinical Biochemistry and Immunology
The General Infirmary
Leeds  LS1 3EX
Tel 0113 3926503

Please visit our web-site at www.leedsteachinghospitals.com

>>> Reynolds Tim <[log in to unmask]> 29/6/09 10:25 >>>
Personally, I would never refuse such a request because I have not seen
the patient. It may be safe to reject them but when a patient has the
test rejected and then in 3 years time is diagnosed with ovarian cancer,
you will have a hard job fighting the local press. So, since PCTs are
billed for the tests they have done, and its not your money, it is
always safer to just do the test...
 
 
TIM
 



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	-----Original Message-----
	From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Bradbury Wayne
(RNL) North Cumbria University Hospitals
	Sent: 29 June 2009 10:14
	To: [log in to unmask] 
	Subject: CA-125
	
	

	Hello all,

	 

	Is anybody else seeing a surge in requests from primary care for
CA-125 on women 

	with "Abdominal bloating ?ovarian malignancy?"

	 

	I think this is related to an article in the BMJ on 4th June
where a patient suggests her late 

	diagnosis of ovarian cancer could have been prevented if only
her GP had asked for a CA-125.  

	 

	http://www.bmj.com/cgi/content/full/338/jun04_2/b2072 

	 

	I am declining these requests. Am I wrong?

	 

	Wayne Bradbury.

	 

	 

	Mr WH Bradbury

	Consultant Biochemist

	Biochemistry Department

	Cumberland Infirmary

	CARLISLE

	Cumbria 

	CA2 7HY

	Tel:     01228 814521

	Fax:    01228 814831

	E-mail: [log in to unmask] 
<mailto:[log in to unmask]> 

	 

	 

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