How long can one live after ovarian cancer recurrence?

Written by Liu Liang
Oncology
Updated on March 15, 2025
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If ovarian cancer patients experience a recurrence after surgery and it is a simple local pelvic recurrence without distant organ metastasis, the treatment method involves evaluating whether another surgical resection can be performed by a gynecologist. However, if there is a recurrence combined with extensive pelvic metastasis, or metastasis to multiple organs, the treatment mainly involves chemotherapy. Therefore, how long a patient can live after ovarian cancer recurrence depends on the severity of the recurrence, the patient's physical condition, and the sensitivity to treatment, among other factors. Thus, it cannot be generalized as there is significant individual variation.

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Can ovarian cancer be inherited?

Ovarian cancer, like most tumors, has genetic factors involved in its etiology, but it is not a genetic disease. Only five to ten percent of ovarian cancer patients have a genetic background. More than ninety percent of ovarian cancer cases are sporadic, meaning that if a mother has ovarian cancer, it does not directly inherit to her daughter. However, individuals with a family history of ovarian cancer have a significantly higher risk of developing the disease compared to the general population, especially those who carry mutations in the BRCA1 and BRCA2 genes. These gene mutations can be inherited from parents, so individuals carrying these mutations have a significantly higher risk of developing ovarian cancer than the healthy population.

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Can ovarian cancer be cured?

Whether ovarian cancer can be cured depends on the clinical stage of the patient, as well as the patient's sensitivity to treatment, among other factors. If it is a case of early-stage ovarian cancer, curative surgery can be performed. After surgery, based on the pathology, it can be decided whether postoperative adjuvant radiotherapy or chemotherapy is necessary. Patients with early-stage ovarian cancer who undergo surgery or postoperative adjuvant radiotherapy and chemotherapy may have hope for a cure. However, if the cancer is discovered at a late stage where it has spread extensively, such as widespread metastasis to the pelvic area, or even to distant organs like the lungs or liver, then the treatment for these patients is primarily chemotherapy. A cure is not achievable; the treatment aims to alleviate symptoms and prolong the patient's life. Thus, for patients with late-stage ovarian cancer, treatment cannot achieve a curative purpose.

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What are the symptoms of ovarian cancer?

Ovarian cancer often does not present symptoms in its early stages and can be detected during gynecological examinations. Secondly, as the tumor grows, it can cause abdominal swelling and discomfort, and abdominal masses may be felt during examinations. Ascites may also develop. The severity of these symptoms depends on the size and location of the tumor, the nearby organs it invades, and the histological type of the tumor. Thirdly, if the tumor infiltrates or compresses surrounding tissues, it can also lead to abdominal pain, back pain, and pain in the lower extremities. If it compresses the pelvic veins, swelling in the lower limbs may occur. If the tumor is functional, it can produce symptoms related to excess estrogen or androgen. In its later stages, the condition may manifest as cachexia and severe anemia, among other signs of a severe illness state.

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What are the symptoms and early signs of ovarian cancer?

The symptoms and early signs of ovarian cancer mainly include the following aspects. Patients may experience persistent lower abdominal pain for no apparent reason, and some patients may experience radiating pain in the vulvar area, while others may show early clinical signs of abdominal bloating. The symptoms and early signs of ovarian cancer are not very numerous. Some patients may exhibit menstrual irregularities, such as increased or decreased menstruation, prolonged periods, or irregular vaginal bleeding. A few patients may experience abnormal vaginal discharge, which can be mixed with an unusual odor and a small amount of blood.

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Can ovarian cancer metastasize to the lungs?

Ovarian cancer is a malignant tumor, so it can spread to distant organs through the bloodstream, such as the lungs, liver, bones, and even brain metastases, among others. Therefore, in late-stage patients with ovarian cancer, it can metastasize to the lungs. It can also spread through the whole body's lymphatic system, reaching lymph nodes throughout the body. The most common form of spread in ovarian cancer is implantation metastasis. It can implant in the peritoneum or pelvic cavity, leading to widespread pelvic dissemination and invasion of surrounding pelvic tissues. It can also implant in the peritoneum, resulting in significant ascites and extensive peritoneal metastasis.