Can ovarian cancer be detected by transvaginal ultrasound?

Written by Liu Liang
Oncology
Updated on December 15, 2024
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Ovarian cancer can generally be detected through a transvaginal ultrasound. During this procedure, we can find cystic or cystic-solid, or a solid mass in the ovaries. If a blood test for tumor markers shows a significant increase in CA125, especially in combination with a large amount of ascites, we must strongly suspect ovarian cancer. In such cases, patients should undergo a tumor biopsy. By taking a biopsy and confirming it pathologically, we can definitively diagnose ovarian cancer. Therefore, most ovarian cancer patients can indeed be detected through a transvaginal ultrasound.

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Written by Liu Liang
Oncology
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Does ovarian cancer cause abdominal pain every day?

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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Written by Liu Liang
Oncology
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How long can one live after ovarian cancer recurrence?

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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Written by Liu Liang
Oncology
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Ovarian cancer pain symptoms

In the early stages of ovarian cancer, the symptoms can be quite hidden, and the patient may not feel any discomfort at all. However, as the tumor grows and ascites develops, the patient typically may experience abdominal bloating, or a palpable mass may be felt in the pelvic or lower abdominal area. At this point, symptoms such as pain in the lower abdomen may occur, especially when there is a substantial amount of ascites, leading to clinical symptoms like abdominal bloating and pain. In even more advanced stages of ovarian cancer, the tumor may invade surrounding pelvic organs, potentially causing partial intestinal obstruction or symptoms of pelvic compression. With conditions like intestinal obstruction, there will be significant abdominal pain, possibly accompanied by vomiting, especially after eating, which can exacerbate the symptoms.

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Written by Wu Xia
Oncology
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What to eat after ovarian cancer surgery

After ovarian cancer surgery, a person’s immune system is relatively weak and they are quite frail. At this time, recuperation is necessary, and careful nursing is essential. The diet should primarily consist of easily digestible, high-energy foods. Patients can eat more fish after ovarian cancer surgery, as fish is high in protein and also easy to digest and absorb. Additionally, it is suitable to eat some fruits like bananas. Moreover, it is important to drink plenty of water. After surgery, ensure at least 2000 milliliters of water intake per day to help expel toxins and prevent constipation.

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Written by Liu Liang
Oncology
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How is ovarian cancer diagnosed?

Ovarian cancer is discovered through transvaginal ultrasound of the adnexa uteri revealing ovarian tumors, or through imaging studies such as abdominal CT scans or MRIs showing ovarian tumors, combined with tumor markers, particularly the ovarian epithelial cancer tumor marker CA125, which will be significantly elevated. Generally, with these findings, ovarian cancer can typically be clinically diagnosed. Confirmation, however, requires pathological diagnosis, which involves obtaining a biopsy of the tumor. This can be done through a puncture biopsy or through pathological examination after surgical excision to confirm ovarian cancer. Additionally, some patients with ovarian cancer present with substantial ascites at the time of discovery. If cancer cells are found in the abdominal fluid, combined with a significant increase in CA125 and imaging studies showing ovarian tumors, ovarian cancer can also be diagnosed.