27
a
Due to current gaps in health system and human resource availability.
No role for
minimally
invasive
techniques
a
Should
discuss family
history and
provide
or refer to
appropriate
counseling
Should
follow existing
evidence-
based
guidelines
for BRCA, if
testing/follow-
up available
Should obtain
histologic
confirmation for
diagnosis; minimally
invasive technique
could be a CT-
guided biopsy
When a biopsy
cannot be
performed,
cytologic evaluation
combined with a
serum CA-125 to
CEA ratio >25 can
confirm the primary
diagnosis
May be a role for
minimally invasive
surgery such as
laparoscopy for
initial histological
diagnosis if
planning for NACT
for appropriate
selected patients
Should use
CA-125 in
evaluation
Assessing
heritable risk
Histologic
diagnosis
