As with all other cancers, the
decision to pursue a particular avenue of ovarian cancer treatment depends
largely on the stage of the cancer at diagnoses. Additionally, any ovarian
cancer treatment decision should take place through close and open lines of
communication between both the oncologist and patient
Risk factors
and causes
- The difficulty
in diagnosing ovarian cancer in the early stages is due to the lack of
specific symptoms. Early-stage ovarian cancer does not cause obvious
symptoms. By the time symptoms become noticeable, the cancer has grown and
metastasized. The symptoms of ovarian cancer are often overlooked or
attributed to other conditions such as depression or irritable bowel
syndrome. Symptoms commonly include abdominal pressure, bloating or
swelling, discomfort or pain in the pelvis, or urinary urgency. Additional
symptoms may include indigestion, flatulence, nausea, appetite loss,
changes in bowel or bladder habits, pain during intercourse, lack of
energy, low-back pain and menstrual changes. Symptoms caused by ovarian
cancer persist longer than two weeks and are unresponsive to antibiotics
or other treatments.
Risk factors
and causes
·
Scientists
continue to study the genes responsible for familial ovarian cancer. This
research is beginning to yield clues about how these genes normally work and
how disrupting their action can lead to cancer. This information eventually is
expected to lead to new drugs for preventing and treating familial ovarian
cancer. Research in this area has already led to better ways to detect
high-risk genes and assess a woman's ovarian cancer risk. A better
understanding of how genetic and hormonal factors (such as oral contraceptive
use) interact may also lead to better ways to prevent ovarian cancer.
- Exploratory Surgery : This surgery is performed for confirming the diagnosis of ovarian cancer.
- Ultrasound : High-frequency sound waves are produced in order to get precise images of the structures inside the body.
- Blood Tests : CA 125 blood test is performed for those women who are suspected of having ovarian cancer or previously had ovarian cancer. This blood test helps in detecting a protein antigen that can be found at abnormally high levels in the blood serum of those women who have ovarian cancer.
- Positron Emission Tomographic Scan (PET) : This test helps in defining those areas that altered blood supply and also helps in identifying cancer.
- Upper G.I. and Lower G.I. Scopy : It helps in ruling out the primary cancer present in G.I. tract.
- CT scan : This helps in generating two dimensional images of the body that may show whether the cancer has spread.
- Mammography : Metastatic tumors can be ruled out with this test.
- Magnetic Resonance Imaging (MRI) : Magnetic energy is used for generating highly detailed images of the anatomy such as tumors.
Surgery
Three types of surgeries are involved in treating ovarian cancer such as :–
- Laparoscopy : Gynaeoncologist perform laparotomy through a large abdominal incision, most often removing your ovaries, uterus, fallopian tubes, nearby lymph glands, a fold of fatty tissue called the omentum and as much of the tumor as possible.
- Frozen Section Tissue Analysis : The rapid analysis of the tissue is done under a microscope. The nature of the tumor is determined as whether it is cancerous or non-cancerous that also helps surgeons to perform a suitable procedure during the first surgery.
- Laparotomy : This procedure is used by making a large abdominal incision. This incision is done for removing uterus, ovaries, Fallopian tubes surrounding lymph glands, omentum (a fold of fatty tissue) and tumor. Cytoreductive or debulking surgery is another name for this surgery.
Chemotherapy
After
surgery, you'll most likely be treated with chemotherapy - drugs
designed to kill any remaining cancer cells. Chemotherapy may also be
used as the initial treatment in some women with advanced ovarian
cancer. Chemotherapy drugs can be administered in a vein (intravenously)
or injected directly into the abdominal cavity, or both methods of
administering the drugs can be used. Chemotherapy drugs can be given
alone or in combination.
Radiation therapy
Radiation
therapy uses high-energy beams to kill cancer cells. The use of
radiation therapy to treat ovarian cancer has declined in recent years,
but Gyneconcologist use it in certain cases, such as when patient have a
recurrence of cancer at the original site or if she can't tolerate
chemotherapy. Gyneconcologist may use whole abdominal radiation to treat
ovarian cancer that remains or recurs in the abdomen. For
more information
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