Ovarian cancer signs and inspection methods

Ovarian cancer is a common gynecologic cancer, about female genital tumors 1 / 3. It may occur at any age, while women of childbearing styles. Ovarian cancer incidence rate for Habitat female genital cancer, the third, as early diagnosis is not easy, often found at advanced stage, the mortality rate of gynecologic malignancies in the first place. [Diagnosis] 1. symptoms (1) abdominal discomfort Medium size of the rapid growth of benign tumors or malignant and often cause stomach discomfort . (2) abdominal mass nign slow growth, it is difficult to detect, patients often inadvertently touched. Cancer grow fast, readily detectable. (3) tumors with abdominal pain torsion and rupture, bleeding, infection, there may be varying degrees of abdominal pain. If surrounding cancer invasion, oppression or nerves can cause abdominal pain, back pain or leg pain. (4) compression symptoms of pelvic tumors larger earned oppression can lead to symptoms, such as urinary frequency, difficulty urinating, constipation, short breath. such as palpitations. (5) uterine disorders and endocrine tumors produce symptoms of steroid hormones or damage bilateral ovarian tumors, can cause menstrual disorders, or abnormal uterine bleeding. Granulosa cell tumor, theca cell tumor can produce too much estrogen caused precocious puberty, or postmenopausal bleeding. Testicular tumor cells can produce excessive androgen caused masculine performance. (6) metastases to the performance of lung metastases cause of hemoptysis, and dyspnea; Stool metastatic intestinal changes, hematochezia, such as obstruction. 2, signs of benign ovarian tumors unilateral, in utero. Spherical, solid or cystic mass, surface smoothness, activities, uterus, and distinct. Malignant ovarian tumor bilateral, or is part of solid surface severe than fixed mass, Uterine CULDOSAC rectum within the scattered nature of nodules. 3, the auxiliary (1) B - ultrasound imaging can be detected in the tumor location, size, shape and nature. (2) diagnostic radiology or barium contrast barium enema, air contrast can understand gastrointestinal tumor. CT scans can be right pelvic tumor location and qualitative and can understand the liver, lungs and retroperitoneal lymph node metastasis. Pelvic lymph node imaging of ovarian cancer can be judged milk without lymph node metastasis. (3) laparoscopy can be directly observed tumor sources and generally, and the entire abdominal cavity and septa. to determine the extent of the lesion and other period. Ascites can draw for cytology, or from suspicious tissues were examined. However, the enormous mass or tumor adhesion taboo. (4) cytology abdominal puncture or posterior vaginal fornix culdocentesis for cytology, contribute to the diagnosis of ovarian cancer. (5) tumor marker inspection embryonal carcinoma, endodermal sinus cancer patients with alpha-fetoprotein (aFP) at high concentrations, aFP greater than 20 μg / L, respectively. Beta-hCG measurement of primary ovarian choriocarcinoma and ovarian germ cells mixed with choriocarcinoma components have diagnostic value. Cancer antigen CA125 radioimmunoassay (CA125 greater than 65 U / ml positive) on epithelial cancer higher The diagnostic significance. Lactate dehydrogenase (LDH) of dysgerminoma help in the diagnosis. (6) laparotomy before puberty ovarian increased postmenopausal ovarian still palpable; women of childbearing age have ovarian cystic tumor diameter greater than 6 cm, the observed three-six months is not reduced or increased; solid tumors greater than 4 cm in diameter; Pregnant early detection of ovarian mass, four months pregnant not reduced, are indications laparotomy.