CPC Of The Ovary

Question 1

What are the key components of a history and investigations of a pelvic mass?

Answer 1

Non specific symptoms
May have indigestion/early satiety/poor appetite
Altered bowel habit/pain
Bloating/discomfort/weight gain

Mass may be asymptomatic or causing pressure symptoms

Question 2

How do you manage ovarian cancer?

Answer 2

Diagnosis may be made through: post operative, USS of abdomen and pelvis, CT, CA 125 (increased when there is disease within the perineum, can be benign or malignant)

Risk of malignance index: u (USS features) x m (menopausal status) x CA 125

Staging

1) ovaries with capsule intact
2) one or both ovaries with pelvic extension
3) one or both ovaries with peritoneal implants outside pelvis or + nodes
4) distant metastasis

Treatment
Surgery (laparotomy to stage and reduce disease bulk/clear)
Chemotherapy (adjuvant or neo adjuvant)

Question 3

What is the relevance and significance of a histological diagnosis of ovarian cancer?

Answer 3

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