Women with ovarian cancer often display a variety of symptoms, ranging from loss of appetite to abdominal pain. They may also notice a change in their menstrual cycle, abdominal distension, and abnormal bleeding. Other symptoms of ovarian cancer include changes in bowel habits, and an increase in urinary frequency or urgency. The following are symptoms that you should watch for and report to a doctor. If you notice any of these signs, you should see your doctor immediately.
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Ovarian cancer is usually staged based on its location. Stage I is the earliest stage, and is usually detected when a tumor is less than an inch across. Stage II and stage III are the most severe stages of the disease, with cancer spreading to the pelvis and other organs of the abdomen. Depending on where the cancer has spread, you may be experiencing symptoms of Stage III, including bleeding and abdominal pain.
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Fortunately, early ovarian cancer symptoms are often mild and inconspicuous. The majority of women with ovarian cancer do not experience any symptoms until the disease has spread to other parts of their body. Because the early symptoms of ovarian cancer are nonspecific and masked by other symptoms, it is important to schedule an appointment with a physician immediately. Some of the most common symptoms of ovarian cancer include persistent abdominal pain, bloating, and irregular periods.
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A doctor may also perform a pelvic exam to detect a lump or mass. Using ultrasound, doctors can check ovaries, uterus, and reproductive organs. Some women will have a small sample of tissue removed from the ovary for evaluation under a microscope. If the doctor finds a mass outside of the ovaries, a biopsy is required. Ultimately, a biopsy will confirm the diagnosis.
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Different types of ovarian cancer occur based on the type of cell they affect. Most ovarian cancers are epithelial, meaning they develop from cells lining the ovary. Epithelial cancers are less dangerous than tumors of higher malignancy. This is the most common form of ovarian cancer. There are two subtypes: granulosa-theca and serous-mucinous ovarian cancer.
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Women with ovarian cancer may need chemotherapy to kill cancer cells and shrink tumors. Following chemotherapy, a woman may have recurring visits to the doctor to monitor the progress of the disease and check for any new symptoms. A healthcare provider will ask about symptoms and may order imaging tests, including a CT scan. The treatment will depend on the location of the cancer, as well as how advanced the disease is. A doctor may also recommend surgery in some cases.
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The risk of developing ovarian cancer is increased with age. Women with an Eastern European (Ashkenazi) Jewish background are at an increased risk. Women with a Lynch syndrome gene mutation increase their risk of ovarian cancer by more than 50%. Genetic testing is available for individuals with these conditions and will help determine whether or not they are predisposed to the disease. However, there is no guarantee that a woman will develop ovarian cancer.
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Because of the lack of early warning symptoms, many women don't get diagnosed with ovarian cancer until it is too advanced. The high rate of fatality in this condition is largely due to the lack of clear alarm symptoms. A study by Goff et al. in 1985 and 2004 described three symptoms that are common to women with ovarian cancer. They included abdominal bloating, difficulty eating, and pelvic pain. These symptoms are now commonly used in awareness campaigns.