Ovarian cancer

Question 1

What are the stages of ovarian cancer?

Answer 1

1= confined to ovaries
2= spread outside ovaries but within pelvis
3= spread outside of pelvis but in peritoneum/abdomen
4= distant mets

Question 2

What are the most common types of ovarian cancer?

Answer 2

Epithelial= most common
Stromal
GErm cell

Question 3

What are some risk factors for ovarian cancer?

Answer 3

BRCA 1 and 2
Incessant ovulation
Increasing age
FH

Question 4

What is the presentation of ovarian cancer?

Answer 4

Classically presents late and non specifically
Pelvic mass +/- pressure symptoms
GI symptoms
Weight gain

Question 5

What GI symptoms can present with ovarian cancer?

Answer 5

Indigestion
Early satiety, poor appetite
Altered bowel habit
Bloating

Question 6

What investigations are done to diagnose ovarian cancer?

Answer 6

CA 125
Pelvic US
CT

Question 7

What is the risk of malignancy index?

Answer 7

US features x menopausal status x CA125 level

Question 8

What investigation shouldn’t be used in ovarian cancer?

Answer 8

Biopsy- can spread cells

Question 9

What is the management of ovarian cancer?

Answer 9

Surgery and/or chemo

Question 10

What is the prognosis of ovarian cancer?

Answer 10

Comparatively poor- presents later

Question 11

What risk of malignancy index is low?

Answer 11

<25

Question 12

What risk of malignancy index is high?

Answer 12

> 200