Does ovarian cancer cause abdominal pain every day?

Written by Liu Liang
Oncology
Updated on September 01, 2024
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Patients with ovarian cancer often experience abdominal pain as a common symptom. This is because ovarian cancer can widely implant itself within the pelvic and abdominal cavity, or directly invade the uterus, fallopian tubes, and other tissues and organs within the pelvis, resulting in symptoms of abdominal pain. However, not every patient with ovarian cancer will necessarily exhibit abdominal pain as a clinical symptom, nor is it the case that abdominal pain will occur every day. For instance, some patients with early-stage ovarian cancer may have more concealed clinical presentations and may not experience any specific discomfort. They might discover the disease through physical examinations, gynecological exams, or through ultrasound scans of the uterine adnexa conducted during physical check-ups.

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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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Is ovarian cancer hereditary?

The onset of ovarian cancer may be somewhat related to family history or genetic factors. Therefore, patients with a family history of ovarian cancer may have a higher risk of developing the disease compared to the general population. However, this doesn't mean that a patient with ovarian cancer will definitely pass the condition to their offspring; it merely indicates a certain level of heredity. Furthermore, for those with a family history of breast cancer, colon cancer, and endometrial cancer, it is crucial for their descendants to undergo enhanced screenings for ovarian cancer and these diseases, as their risk of developing these conditions may be higher than that of the average person.

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Location of abdominal pain in ovarian cancer

Ovarian cancer in patients manifests as tumors in either both ovaries or one ovary. Therefore, the abdominal pain they experience is lower abdominal pain, not bloating or sudden, noticeable increase in abdominal size. Additionally, the primary pathway for the metastasis of ovarian cancer is through implantation, allowing widespread metastatic implants in the pelvic and abdominal cavities. There is also local spread of the tumor to the uterus, fallopian tubes, and surrounding pelvic tissues. Thus, the location of abdominal pain in ovarian cancer is in the lower abdomen, specifically pain and bloating in the pelvic area.

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Ovarian cancer stage IC means

If it is stage Ic ovarian cancer, it refers to the tumor being confined to one or both ovaries, without involvement of other pelvic organs or distant organs such as the liver or lungs. However, it must meet any of the following conditions: the first is the rupture of the capsule with tumor on the surface; the second is the presence of cancer cells in the ascites or peritoneal lavage fluid. Meeting any of these conditions, along with the tumor being limited to one or both ovaries, classifies it as stage Ic.

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Symptoms of ovarian cancer

Ovarian cancer patients, especially those in the early stages, typically have inconspicuous symptoms, possibly without any noticeable discomfort. The disease is often discovered during gynecological examinations through the detection of abdominal masses. In advanced-stage patients, as the abdominal mass progressively enlarges, symptoms may include abdominal pain, lower abdominal bloating, and pelvic pressure symptoms due to compression of nearby organs. There may be partial intestinal obstruction, presenting as nausea, vomiting, abdominal pain, and inability to pass stool or gas. Another symptom is ascites, characterized by progressive enlargement and bloating of the abdomen. Ascites is a common clinical manifestation in ovarian cancer patients, and a significant portion of patients are diagnosed with ovarian cancer after presenting with ascites as the initial symptom.