Ovarian

Question 1

What type of cancer is it usually?

Answer 1

Epithelial carcinoma

Question 2

What are the risk factors?

Answer 2

Genetics - BRCA HNPCC(colorectal)

Anything that increases oestrogen

• HRT oestrogen only
• Obesity
• 0 parity
• Late menopause

Question 3

What decreases the risk?

Answer 3

Many children

first child under 25

Question 4

What are the symptoms?

Answer 4

These are non specific which leads to late diagnosis:

Pelvic pain

Feeling full

Urinary urgency (pressing on bladder)

fatigue, weight loss

Question 5

what are some signs?

Answer 5

Shifting dullness

Mass

Ascites

Question 6

How is it diagnosed?

Answer 6

Surgically

Question 7

How can it be tracked?

Answer 7

CA125

Question 8

How does it spread and where to?

Answer 8

Intraperitoneal dissemination - often to the peritoneum causing omental cake.

Deposits can appear on any organs and it can block the bowel

Question 9

Why do ascites occur?

Answer 9

Tumour breaks down barrier between peritoneam and ECF

It blocks lymph

Increase in oncotic pressure in peritoneum due to leak of ECF

Question 10

What age group is it common in?

Answer 10

Post menopausal