Understanding Ovarian Cancer

A Comprehensive Guide for Patients and Families

Oncology

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Last updated: Mar 24, 2025

What is Ovarian Cancer?

Ovarian cancer is a type of cancer that begins in the ovaries - the female reproductive organs that produce eggs and hormones. It can affect one or both ovaries and may spread to other parts of the body.

Types of Ovarian Cancer

  • Epithelial Tumors: Most common (90% of cases), starts in the outer surface of ovaries
  • Germ Cell Tumors: Rare, develops in egg-producing cells
  • Stromal Tumors: Develops in hormone-producing tissue

Risk Factors

  • Age (usually over 50)
  • Family history of ovarian, breast, or colorectal cancer
  • BRCA1 or BRCA2 gene mutations
  • Never having been pregnant
  • Endometriosis
  • Obesity
  • Hormone replacement therapy

Common Symptoms

Early Signs

  • Bloating
  • Pelvic or abdominal pain
  • Difficulty eating or feeling full quickly
  • Urinary symptoms (urgency or frequency)

Later Signs

  • Fatigue
  • Back pain
  • Constipation
  • Menstrual changes
  • Abdominal swelling

Diagnosis

  1. Physical examination
  2. Blood tests (CA-125)
  3. Imaging (ultrasound, CT, MRI)
  4. Surgery for definitive diagnosis

Treatment Options

Surgery

  • Removal of affected ovary(s)
  • Hysterectomy if necessary
  • Lymph node removal

Chemotherapy

  • Usually platinum-based
  • Given before or after surgery

Targeted Therapy

  • PARP inhibitors
  • Antiangiogenic therapy

Prevention and Screening

  • Regular check-ups
  • Genetic testing if family history
  • Consider oral contraceptives
  • Maintain healthy weight
  • Report symptoms promptly

Support and Resources

  • Support groups
  • Counseling services
  • Patient advocacy organizations
  • Clinical trial information

Follow-up Care

  • Regular monitoring
  • Managing side effects
  • Lifestyle modifications
  • Emotional support

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