Relatively infrequent, the ovarian cancer is the 4th largest gynecological cancers. Often it is discovered late because it develops slowly and without specific symptoms. It was then that may be of poor prognosis, hence the need for regular gynecological monitoring.
1.What are the symptoms of ovarian cancer?
2.Risk factors of ovarian cancer
3.The diagnosis and treatment
One ovary may be affected, or both. In 80% of cases, tumors of the ovary develop from cells on the surface of the ovary (epithelial cancers). In most other cancers, tumors are derived from germ cells (which develop from cells producing eggs).
What are the symptoms of ovarian cancer?
Early diagnosis of ovarian cancer is difficult because symptoms are nonspecific. Thus it is often detected late, when it extends to adjacent organs (fallopian tubes, uterus) or to other tissues (stomach, liver, intestine).
Among the most frequently observed signs include swelling or tension of the abdomen, a sensation in the abdomen, pelvic pain and lower back, core need to urinate, digestive disorders (nausea, vomiting, diarrhea, constipation, bloating …), weight changes, gynecological disorders (menstrual disorders, sexual pain), fatigue …
Risk factors of ovarian cancer
The causes remain unknown. However, many risk factors have been identified.
Age: over 50 years . It therefore occurs most often after menopause.
Family history of ovarian cancer but also cancer of the uterus , breast and colon.
Genetic predisposition: 5 to 10% of cases are familial, with the presence of the BRCA1 gene, which is also associated with breast cancer .
Hormonal factors: the hormone replacement therapy for menopause slightly increases the risk of ovarian cancer. Oral contraceptives reduce the risk of reverse ovarian cancer. Early menarche, late menopause, not having had children or a first child late in life, are also part of hormonal risk factors.
The diagnosis and treatment
The ovarian cancer is diagnosed by vaginal examination, supplemented by an abdominopelvic ultrasound, showing the presence of a mass in the pelvis, diffuse lesions, effusion fluid in the abdomen.
If the results are somewhat suspect, we can propose a simple monitoring because it can be an ovarian cyst Benin. Otherwise, the diagnosis is confirmed by biopsy. Note that the dosage of blood tumor marker, CA125, may also help in diagnosis. It does not necessarily indicate the presence of cancer, but joins other indices.
Treatment consists of surgery as complete as possible. Thus, depending on the extent of cancer, we practice the removal of one or both ovaries, fallopian tubes and sometimes the uterus. Chemotherapy is often associated to reduce the risk of recurrence.
This is the stage at which cancer is diagnosed determines the prognosis. Plus it is caught early, treatment is more effective and the prognosis good. It is therefore recommended to be regularly monitored, and even deal with specific symptoms, do not hesitate to consult.