What are the symptoms of ovarian cancer?

Written by Gong Chun
Oncology
Updated on September 03, 2024
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In the early stages, ovarian cancer often doesn't show many symptoms and can be detected during gynecological examinations. However, as it progresses, symptoms such as abdominal bloating, lumps in the abdomen, and ascites may occur. The severity of these symptoms depends on the size and location of the tumor, the extent to which it has invaded nearby organs, the histological type of the tumor, and whether the malignant tumor, ovarian cancer, has metastasized to other areas or is accompanied by other complications.

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How many years can one live with ovarian cancer?

The survival period of ovarian cancer patients is influenced by various factors including the specific stage of the cancer, whether there is residual tumor after surgery, the size of any residual tumor, the pathological type of the cancer, the presence of high-risk factors for recurrence such as vascular tumor thrombus, neural invasion, lymph node metastasis, etc., as well as the patient's age, overall condition, the presence of severe comorbidities, and the patient's response and sensitivity to treatments like radiotherapy and chemotherapy. Survival periods vary due to differences in stages and treatment sensitivities, meaning it cannot be generalized; there is significant individual variation in survival outcomes.

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What should be noted about having intercourse after ovarian cancer surgery?

Patients with ovarian cancer can have sexual intercourse after radical surgery or palliative surgery, but there are several precautions to consider: Firstly, it is not advisable to have sexual intercourse too soon after surgery, as early intercourse may lead to poor healing of the surgical site, or cause infections, which are detrimental to the patient's recovery. It is generally recommended to schedule sexual intercourse one or two months after ovarian cancer surgery, and some patients are advised to wait three months. After three months, most patients' physical conditions improve and the incisions heal. In such cases, the likelihood of infection from intercourse is low. Moreover, the frequency of sexual intercourse should not be too frequent or excessive, as it may impact the patient's physical strength or lead to concurrent infections. Furthermore, patients should practice contraception during intercourse after surgery, as pregnancy is not advisable for patients who have undergone radical or palliative surgery for ovarian cancer, since pregnancy can exacerbate the development of the disease.

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How is ovarian cancer diagnosed?

Early screening for ovarian cancer allows for about 20% of cases to be diagnosed in their early stages. Detection generally follows these procedures: 1. Routine gynecological health check-ups. 2. Visiting a hospital due to certain symptoms. 3. Ovarian cancer screening. Common methods include transvaginal ultrasound and serum CA125 testing. Additional tests include tumor marker CA125 and checks for AFP, CA19-9, and CEA. Ultrasonography (B-ultrasound) can preliminarily determine the tumor size, shape, solidity, location, and its relation to surrounding organs. CT scans and MRI can further clarify the tumor's nature and the extent of invasion into the abdominal and pelvic organs. If necessary, gastroscopy can be performed to rule out primary gastrointestinal tumors, and if economic conditions allow, a PADCT scan can also be conducted.

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How is ovarian cancer screened?

The most commonly used screening method for ovarian cancer is the B-ultrasound examination of the adnexa uteri. The B-ultrasound can detect ovarian masses and tumors, and when these are found, the possibility of ovarian cancer should be considered, necessitating further examinations for confirmation. Another method involves the tumor marker CA125, which is relatively sensitive and specific for epithelial ovarian cancer. Therefore, for ovarian cancer screening, we can perform a blood test for CA125 in conjunction with a B-ultrasound of the adnexa uteri.

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Ovarian cancer pain symptoms

In the early stages of ovarian cancer, the symptoms can be quite hidden, and the patient may not feel any discomfort at all. However, as the tumor grows and ascites develops, the patient typically may experience abdominal bloating, or a palpable mass may be felt in the pelvic or lower abdominal area. At this point, symptoms such as pain in the lower abdomen may occur, especially when there is a substantial amount of ascites, leading to clinical symptoms like abdominal bloating and pain. In even more advanced stages of ovarian cancer, the tumor may invade surrounding pelvic organs, potentially causing partial intestinal obstruction or symptoms of pelvic compression. With conditions like intestinal obstruction, there will be significant abdominal pain, possibly accompanied by vomiting, especially after eating, which can exacerbate the symptoms.