How to control ascites from ovarian cancer?

Written by Liu Liang
Oncology
Updated on May 27, 2025
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In clinical settings, it is common for ovarian cancer to present with significant ascites. Some patients initially seek medical attention due to symptoms related to large volumes of ascites, and then ovarian cancer is diagnosed. Such cases are generally at a more advanced stage, and their treatment is predominantly chemotherapy. Ovarian cancer patients tend to be relatively sensitive to chemotherapy; only when chemotherapy controls the cancer cells can the ascites be managed. Of course, symptomatically, a peritoneal drainage tube can be placed to drain the ascites, and then local intraperitoneal chemotherapy drugs can be infused. This, combined with systemic intravenous chemotherapy, controls the ovarian cancer and manages the ascites.

Other Voices

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Written by Yan Chun
Oncology
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What are the early symptoms of ovarian cancer?

Patients with ovarian cancer often do not exhibit many symptoms in the early stages, and many do not have obvious symptoms initially. Some patients may experience pelvic pain due to tumor growth early on, primarily located in the bilateral pelvic area, with some experiencing pain that radiates to the perineal area. Some early-stage ovarian cancer patients may experience abnormalities in their menstrual cycle, primarily manifested as irregular menstruation, increased menstrual flow, and the presence of blood clots. Some patients may also experience abnormal vaginal bleeding outside of their menstrual period. In addition, some patients in the early stages may exhibit signs of abnormal hormone secretion. Aside from these, most early-stage ovarian cancer patients do not show obvious symptoms.

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Written by Wu Xia
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Ovarian cancer is not contagious.

Ovarian cancer is not contagious and is not considered a communicable disease, so rest assured, it is not transmissible. Therefore, if there is a patient with ovarian cancer in the family, there is no need to worry about it spreading to others. However, ovarian cancer is more susceptible in populations with a family history of the disease, so if there is a history of ovarian cancer in the family, there is a tendency for it to occur. Additionally, there are many factors that contribute to the cause of ovarian cancer, such as toxin exposure, certain viral infections in everyday life, and lifestyle habits like smoking and drinking, which also play a role. Age is also a significant factor, as the likelihood of developing ovarian cancer increases with age. Patients with ovarian cancer, due to some hereditary genetic factors in their families, should pay special attention and be more vigilant about getting regular medical check-ups if there is a family history.

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Written by Liu Liang
Oncology
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ovarian cancer specific drug

Ovarian cancer does not have any specific cure-all treatment. Most ovarian cancers are epithelial ovarian cancers, and there is also ovarian cancer resulting from malignant germ cells, which is a rarer pathology type. For epithelial ovarian cancer, treatment methods include surgery, radiation therapy, chemotherapy, and some targeted therapies, mainly using Bevacizumab, which is a monoclonal antibody that inhibits angiogenesis, and is usually used in combination with chemotherapy drugs. For patients with advanced ovarian cancer, those who are resistant to chemotherapy, or those in poor general health unable to endure chemotherapy, palliative treatments like hormone treatment using progestogens are an option, along with immune therapy being available nowadays. Surgery is primarily for early-stage ovarian cancer patients, where curative surgical resection is possible, or for debulking surgery in patients with advanced ovarian cancer. Chemotherapy is frequently used as it is relatively effective for epithelial ovarian cancer, a type of cancer that is somewhat sensitive to such treatments. The drugs used mainly include taxane combined with platinum-based chemotherapy. For intravenous administration or intraperitoneal delivery—for the latter, mainly for ovarian cancers complicated by extensive ascites—, positioning an abdominal drainage tube and then infusing platinum-based chemotherapy drugs into the abdominal cavity are utilized.

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Written by Liu Liang
Oncology
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How is ovarian cancer diagnosed?

Ultrasound or CT scans detecting ovarian masses, in combination with biopsy or cytological examination that identify cancer cells, can diagnose ovarian cancer. A common method of biopsy includes ultrasound-guided procedures or transvaginal cul-de-sac puncture biopsy of ovarian masses, enabling clear pathological confirmation. Additionally, exploratory laparotomy or early radical surgery for ovarian cancer patients can yield a postoperative pathological diagnosis of ovarian cancer. Moreover, the presence of ascites is a common symptom in ovarian cancer patients; finding cancer cells, especially adenocarcinoma, in ascites, coupled with significantly elevated tumor marker CA125, or ultrasound or CT imagery revealing ovarian masses, can also diagnose ovarian cancer.

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Written by Liu Liang
Oncology
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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.