How many years can one live with ovarian cancer?

Written by Liu Liang
Oncology
Updated on September 18, 2024
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The survival period of ovarian cancer patients is influenced by various factors including the specific stage of the cancer, whether there is residual tumor after surgery, the size of any residual tumor, the pathological type of the cancer, the presence of high-risk factors for recurrence such as vascular tumor thrombus, neural invasion, lymph node metastasis, etc., as well as the patient's age, overall condition, the presence of severe comorbidities, and the patient's response and sensitivity to treatments like radiotherapy and chemotherapy. Survival periods vary due to differences in stages and treatment sensitivities, meaning it cannot be generalized; there is significant individual variation in survival outcomes.

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How is ovarian cancer diagnosed?

Early screening for ovarian cancer allows for about 20% of cases to be diagnosed in their early stages. Detection generally follows these procedures: 1. Routine gynecological health check-ups. 2. Visiting a hospital due to certain symptoms. 3. Ovarian cancer screening. Common methods include transvaginal ultrasound and serum CA125 testing. Additional tests include tumor marker CA125 and checks for AFP, CA19-9, and CEA. Ultrasonography (B-ultrasound) can preliminarily determine the tumor size, shape, solidity, location, and its relation to surrounding organs. CT scans and MRI can further clarify the tumor's nature and the extent of invasion into the abdominal and pelvic organs. If necessary, gastroscopy can be performed to rule out primary gastrointestinal tumors, and if economic conditions allow, a PADCT scan can also be conducted.

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Does ovarian cancer hyperthermic intraperitoneal chemotherapy work?

Patients with ovarian cancer are prone to peritoneal metastasis, so many patients develop ascites during the discovery of the disease or its progression. A large amount of ascites is a common concurrent symptom in patients with ovarian cancer. For patients with significant ascites like this, hyperthermic intraperitoneal chemotherapy (HIPEC) can be performed, which involves infusing chemotherapy drugs into the abdominal cavity and then combining it with thermotherapy. This treatment generally has a decent effect, especially in controlling the spread of cancer cells in the peritoneum and managing ascites.

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Is ovarian cancer prone to metastasis?

Ovarian cancer relatively tends to metastasize more easily, and clinically, it is often found at a later stage in most patients. The main pathway of metastasis of ovarian cancer is implantation metastasis, where the tumor can breach the capsule and extensively implant in the pelvic or abdominal cavity. Another pathway is local spread, where it can spread to the uterus, fallopian tubes, and other tissues within the pelvic cavity. Additionally, ovarian cancer can also spread to distant organs throughout the body via the lymphatic system or through hematogenous dissemination.

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What is the level of cancer antigen for ovarian cancer?

Carcinoembryonic antigen is primarily found in malignant tumors of the digestive tract, such as colorectal cancer and gastric cancer, where it tends to be significantly elevated. It is also elevated in patients with lung adenocarcinoma. In cases of ovarian cancer, carcinoembryonic antigen may be elevated, but the most primary, sensitive, and specific tumor marker is CA125, which usually shows a significant increase. However, CA125 is specifically elevated in the pathological type of epithelial ovarian cancer.

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Can ovarian cancer that has spread still be cured?

If ovarian cancer has spread, it is generally considered to be at an advanced stage. The treatment for advanced ovarian cancer primarily involves chemotherapy. Epithelial cancer, the most common type of ovarian cancer, is particularly sensitive to chemotherapy. Most patients benefit from chemotherapy. However, once ovarian cancer has spread and is not caught at a very early stage, even with treatments like chemotherapy, it cannot be cured. The purpose of treatment at this stage is to alleviate the patient's pain and extend their survival, but it cannot be cured.