What are the early symptoms of ovarian cancer?

Written by Yan Chun
Oncology
Updated on April 23, 2025
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The early symptoms of ovarian cancer are not severe or common clinically. Some patients may experience abdominal distension and pain. Some may have menstrual irregularities, such as prolonged or shortened menstrual cycles, increased menstrual flow, or irregular bleeding outside of menstruation. Additionally, a small number of patients may experience pelvic pain due to local tumor compression caused by ovarian cancer. This pain occasionally radiates to the perineal area and is generally mild, rarely affecting the patient's quality of life. Furthermore, a minor proportion of ovarian cancer patients, particularly those with tumors having endocrine functions, may exhibit symptoms associated with paraneoplastic syndromes.

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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.

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Is there still hope for ovarian cancer recurrence?

Most ovarian malignant tumors, which are ovarian cancers, are relatively sensitive to chemotherapy. Therefore, in many cases, the treatment of ovarian cancer is a combination of surgery and chemotherapy. Even if ovarian cancer recurs, there are still many treatment options available, with chemotherapy being the most commonly used method. Many patients can still benefit from chemotherapy.

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early symptoms of ovarian cancer

The early symptoms of ovarian cancer in patients are often not very obvious, so they are not easily noticed. The more common symptom is an abdominal mass, meaning you can feel a lump in the abdomen. In its early stages, the abdominal mass is not large and is not easily detectable. Most patients only discover it during gynecological examinations. As the disease progresses, the mass grows larger and the abdomen visibly expands, leading to symptoms like abdominal pain, bloating, or lower abdominal discomfort. Another symptom is ascites, which is a more common sign in patients with advanced ovarian cancer.

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How long can one live with ovarian cancer?

The lifespan of ovarian cancer patients depends on several factors including the specific stage of the cancer, the patient's sensitivity and response to treatment, and the overall health of the patient, leading to significant individual variability. The cancer is typically classified into stages from one to four, with stage one being the earliest and stage four being the most advanced. Generally, patients diagnosed at an earlier stage tend to have a better prognosis and a greater chance of survival compared to those with advanced ovarian cancer. Additionally, patients in advanced stages who respond well to treatments like chemotherapy typically have a better prognosis and longer survival times compared to those who are less responsive to such treatments. Hence, it is impossible to generalize as the individual differences are substantial.

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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.