Ovarian cancer


What are the early symptoms of ovarian cancer?
Patients with ovarian cancer often do not exhibit many symptoms in the early stages, and many do not have obvious symptoms initially. Some patients may experience pelvic pain due to tumor growth early on, primarily located in the bilateral pelvic area, with some experiencing pain that radiates to the perineal area. Some early-stage ovarian cancer patients may experience abnormalities in their menstrual cycle, primarily manifested as irregular menstruation, increased menstrual flow, and the presence of blood clots. Some patients may also experience abnormal vaginal bleeding outside of their menstrual period. In addition, some patients in the early stages may exhibit signs of abnormal hormone secretion. Aside from these, most early-stage ovarian cancer patients do not show obvious symptoms.


What causes ovarian cancer?
The causes of ovarian cancer, and its mechanism of onset, are not yet very clear. Some risk factors that have been relatively well established in relation to the occurrence of ovarian cancer include early menarche, which means starting menstruation at an earlier age, late menopause, and not having a history of pregnancy; these conditions are some of the risk factors for ovarian cancer. Additionally, the occurrence of ovarian cancer is also somewhat related to familial or genetic factors.


Can ovarian cancer be inherited?
Ovarian cancer, like most tumors, has genetic factors involved in its etiology, but it is not a genetic disease. Only five to ten percent of ovarian cancer patients have a genetic background. More than ninety percent of ovarian cancer cases are sporadic, meaning that if a mother has ovarian cancer, it does not directly inherit to her daughter. However, individuals with a family history of ovarian cancer have a significantly higher risk of developing the disease compared to the general population, especially those who carry mutations in the BRCA1 and BRCA2 genes. These gene mutations can be inherited from parents, so individuals carrying these mutations have a significantly higher risk of developing ovarian cancer than the healthy population.


What to eat after ovarian cancer surgery
After ovarian cancer surgery, a person’s immune system is relatively weak and they are quite frail. At this time, recuperation is necessary, and careful nursing is essential. The diet should primarily consist of easily digestible, high-energy foods. Patients can eat more fish after ovarian cancer surgery, as fish is high in protein and also easy to digest and absorb. Additionally, it is suitable to eat some fruits like bananas. Moreover, it is important to drink plenty of water. After surgery, ensure at least 2000 milliliters of water intake per day to help expel toxins and prevent constipation.


How long can one live after ovarian cancer recurrence?
If ovarian cancer patients experience a recurrence after surgery and it is a simple local pelvic recurrence without distant organ metastasis, the treatment method involves evaluating whether another surgical resection can be performed by a gynecologist. However, if there is a recurrence combined with extensive pelvic metastasis, or metastasis to multiple organs, the treatment mainly involves chemotherapy. Therefore, how long a patient can live after ovarian cancer recurrence depends on the severity of the recurrence, the patient's physical condition, and the sensitivity to treatment, among other factors. Thus, it cannot be generalized as there is significant individual variation.


What are the symptoms of ovarian cancer?
Some early symptoms of ovarian cancer patients include a lump in the abdomen that can be felt during gynecological examination or by the patients themselves. In advanced ovarian cancer, as the tumor progressively enlarges, there may be symptoms like abdominal pain, bloating, decreased appetite, and weight loss. Moreover, the tumor may compress other organs in the pelvic cavity, causing symptoms such as a feeling of heaviness in the lower abdomen or even constipation. Additionally, many patients with ovarian cancer may develop significant ascites, which can also cause abdominal distension, decreased appetite, and even nausea and vomiting, along with other gastrointestinal symptoms.


Ovarian cancer requires the following examinations:
The examination for ovarian cancer begins with an abdominal ultrasound, which can clarify the tumor's size, shape, cystic or solid nature, location, and its relationship with neighboring organs. If necessary, CT scans and MRI can be conducted for a clearer view. Next are tumor markers, which are essential in the diagnosis of ovarian cancer. Additionally, CT scans of the lungs and head, or MRI, and a complete blood count of bone can help rule out distant metastasis. The most critical part is the pathological diagnosis, as the definitive diagnosis of tumors primarily relies on pathology. We can obtain a clear pathological diagnosis through laparoscopy or exploratory laparotomy.


What to eat for difficulty in defecation due to ovarian cancer?
If the difficulty in defecation is due to ovarian cancer involving the rectum or other parts, we can apply anti-tumor treatments such as surgery and chemotherapy to control the condition and facilitate defecation. If the issue is caused by painkillers or the patient's inherent constipation, diet is crucial. The diet must include an adequate amount of fiber, more vegetables, and fruits. Avoid overly refined staple foods and include more whole grains. Drinking a glass of saltwater or honey water on an empty stomach in the morning, combined with appropriate waist and abdominal massage, can enhance the effect of facilitating bowel movements. If these measures are still ineffective, laxatives such as sodium docupate or lactulose may be used, along with some traditional Chinese medicines.


Ovarian cancer stage IC means
If it is stage Ic ovarian cancer, it refers to the tumor being confined to one or both ovaries, without involvement of other pelvic organs or distant organs such as the liver or lungs. However, it must meet any of the following conditions: the first is the rupture of the capsule with tumor on the surface; the second is the presence of cancer cells in the ascites or peritoneal lavage fluid. Meeting any of these conditions, along with the tumor being limited to one or both ovaries, classifies it as stage Ic.


What are the symptoms and early signs of ovarian cancer?
The symptoms and early signs of ovarian cancer mainly include the following aspects. Patients may experience persistent lower abdominal pain for no apparent reason, and some patients may experience radiating pain in the vulvar area, while others may show early clinical signs of abdominal bloating. The symptoms and early signs of ovarian cancer are not very numerous. Some patients may exhibit menstrual irregularities, such as increased or decreased menstruation, prolonged periods, or irregular vaginal bleeding. A few patients may experience abnormal vaginal discharge, which can be mixed with an unusual odor and a small amount of blood.