Cancer Screening Program for Women at High Risk for Developing Ovarian Cancer

The program will offer twice yearly CA-125 blood tests and annual transvaginal ultrasounds
to monitor women at high risk for ovarian cancer. In addition to the main purpose of
providing ovarian cancer screening, the researchers would also like to build a repository of
blood specimens for use in ovarian and breast cancer research and to offer genetics
counseling sessions to help educate women about risk-reducing options.

Inclusion Criteria:

- Must meet one of the following:

- The family contains at least two ovarian or breast cancers in the subject or
first or second degree relatives of the subject.

- The subject is of Ashkenazi Jewish ethnicity with one first degree or two
second-degree relatives with breast or ovarian cancer, or subject is of
Ashkenazi ancestry and has had breast cancer.

- The subject has a male relative with breast cancer diagnosed at any age.

- Probability of carrying a BRCA1/2 mutation given family pedigree of breast and
ovarian cancers exceeds 20% (as determined by BRCAPRO 95% posterior probability
interval).

Exclusion Criteria:

- Prior ovarian cancer or peritoneal carcinomatosis

- A first or second degree relative with a BRCA1/2 mutation and has tested negative for
exactly the same mutation.

- The subject has no ovaries.

- Less than 30 years of age, unless 25-30 with BRCA I or II mutation confirmed

- Currently pregnant

- Currently receiving adjuvant chemotherapy or radiation therapy for cancer (excluding
tamoxifen). Patients who are being treated for local disease may enroll 3 months
after completion of last treatment (excluding tamoxifen).

- Treatment (excluding tamoxifen) for prior metastatic malignancy within the past five
years.

- Intraperitoneal surgery within the last 3 months.