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Diagnosis of Ovarian Cancer

What are the early signs of ovarian cancer

In all cases, the first sign of ovarian cancer is an enlargement of the ovary.  This enlargement of the ovary can be detected on pelvic examination.  (Fortunately, only 5% of these are found to be malignant or cancerous).  Other signs of ovarian cancer include fluid collection in the abdomen, bloating, cramping, pelvic pain, heartburn and fatigue.  However, these symptoms can easily be confused with indigestion, irritable bowel or premenstrual syndrome (PMS).  It is only at a very advanced stage that distension and a total lack of appetite occur.
 

What tests can help in determining ovarian cancer

A blood test known as the CA 125 can help in detecting ovarian cancer.  A tumor-marker measures the level of protein shed by ovarian tumors.  A reading beyond the range of 0-35 is suggestive of cancer.  But the CA-125 can detect only less than 80% of ovarian tumors.  It is not a conclusive screening of cancer like the mammography since the CA-125 could fail to detect many of the tumors.  A higher than normal reading could even indicate a number of other gynaecological disorders like cysts, fibroids, endometriosis, or even menstruation.

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