Sunday, March 2, 2008

Ovarian cancer symptoms and diagnosis

In recent years, the treatment of gynecologic cancer has made remarkable progress, but except ovarian carcinoma no significant improvement. Ovarian cancer morbidity of Gynecologic Oncology, the third, but as the first fatality. Caused high mortality is due to the growth of ovarian cancer site concealment, not directly see that the early patients is a lack of simple and practical methods of diagnosis. Most (about 70%) of newly diagnosed patients with peritoneal metastasis has pots. Currently taken by surgery, radiotherapy, chemotherapy, immunotherapy and Chinese medicine treatment for combination therapy, patients with advanced worse still, it is difficult to avoid relapse. And be early diagnosis and treatment of patients with ovarian cancer prognosis is very different. In epithelial ovarian cancer for example, according to statistics, the five-year survival rate, I for 80% of Phase II, 40%; And Stage III and just below 5%. Visibility early discovery, early diagnosis and treatment of ovarian cancer patients is matter of life or death. To enhance the right ovarian cancer prevention awareness, we now common ovarian cancer symptoms and diagnosis as follows : 1. The age of onset : Ovarian cancer can occur at any age, high-fat phase in 40 to 70 years, with 50 years before and after menopause about middle-aged women the most common, but 20-year-old girl also occurred. Elderly women enter the ovaries gradually reduced to a small, if gynecological examinations can touch or ovarian masses should be highly suspicious of the disease. In pre-adolescent children, young girls, ovarian immature, often anal investigation to find ovarian, such as the increase could be reached or ovarian found in Annex B-mass, should be suspicious of the disease. 2. Gastrointestinal symptoms : patients with early symptoms often first performance in the gastrointestinal tract. Almost all patients because of abdominal distention, Weina poor diet or significantly reduce the weight and medical treatment. If there ascites, abdominal distension will be more apparent, and can cause abdominal pain. 3. Abdominal Tumors : The majority of patients in the morning to wake up when the bladder filling inadvertently touch lower abdominal mass, if the tumor were growing rapidly or that there should be a high degree of ascites suspicious of this disease. However, smaller tumors (less than or equal to 7 cm) tend to find themselves, we must rely on ultrasound examination can be found, should understand from ovarian cancer have less than or equal to 5 cm were. Regular gynecological cancer prevention it is necessary to check, if found about 5 cm of ovarian tumors need regular follow-up and close observation. 4. Menstrual change : about 1 / 2 patients with ovarian cancer irregular menstruation, irregular vaginal bleeding. Clinical also found ovarian dysfunction, such as delayed menarche, early menopause; Dysmenorrhea, unmarried, pregnant or not a family history of ovarian cancer susceptibility to the disease. 5. Symptom : larger pelvic tumor that often obvious symptoms of oppression, and frequent urination, urgency, anus choke blocking, or the lower abdomen bulge stool sluggish discomfort. When ovarian cancer extensive pots peritoneal metastasis and ascites, the symptoms are more oppressed see. 6. Gynecological examinations : If consultation within the material found in Annex swollen hard, rough surface, poor activity should be highly suspicious ovarian cancer infiltrating adhesion. If it touches about 5 centimeters partial solid tumor can not let go. 7B - see : substantive ovarian tumor about 70% of malignant; Cystic mixed with solid tumors is also more vicious. B-found tumor thickness (solid reflection thickness more than 2 cm) should be highly suspicious vicious. CT scanning, magnetic resonance imaging (MRI) can be aided diagnosis. 8. Other test : After the vaginal fornix puncture fluid and chest, ascites cytological examination in the diagnosis of any help. Major CA125 detection of ovarian epithelial neoplasms, alpha-fetoprotein (AFP) on endodermal sinus tumor, chorionic gonadotropin choriocarcinoma of the diagnosis and prognosis of important reference value. Currently, laparotomy is a clear diagnosis of the disease the main means; In practical circumstances, surgical treatment of ovarian cancer is the most important choice of the method of treatment. After surgery can not only clear ovarian tumor histological types, tumor, but in a short period of time tumor removal of all or most. The early cases were appropriate choice available cure. Right, for advanced cases of cytoreductive surgery, abdominal pelvic about who can resection of the tumor resection transcribed, is conducive to the anti-tumor capability, and for the chemotherapy, radiotherapy and immunotherapy with the creation of an enabling environment to enhance quality of life and improve the prognosis of great benefit.

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