The American Cancer Society estimated that approximately
15,280 women died from ovarian cancer in the United States
during 2007. Ovarian cancer ranks fifth among cancers in
women, and accounts for more deaths than any other cancer
of the female reproductive system. Part of the reason for
ovarian cancer's high mortality rate is the difficulty in
diagnosing a disease with few warning signs. Another aspect
of ovarian cancer that makes the disease one of the most
challenging to treat is the fact that tumors can grow
quickly, and aggressively spread through the abdomen to
other organs.
Like any cancer, the sooner ovarian cancer is diagnosed
and treated, the better a woman's chances of survival. If
the cancer can be treated before it has spread outside the
ovary, the five year survival rate is 93%. However, only
19% of all ovarian cancers are found at this stage, so it
is crucial that women of all ages are familiar with
symptoms, which can initially be quite vague. These
include:
- Bleeding from the vagina
- Pain in the lower abdomen
- Pelvic and/or abdominal swelling, bloating, and/or
a feeling of fullness
- Unexplained weight gain or loss
- Vague but persistent gastrointestinal upsets such
as gas, nausea, and indigestion
- Unexplained changes in bowel habits
- Ongoing unusual fatigue
Women who experience any of these symptoms, but
particularly bloating , pelvic or abdominal pain,
difficulty eating or feeling full very quickly, and having
the urge to urinate frequently on a daily basis for more
than two or three weeks, should contact her gynecologist
immediately and schedule a pelvic exam. One of the
diagnostic tests available is the transvaginal ultrasound,
which helps determine whether there are abnormal growths
present or other signs of cancer in the ovaries.
A woman can also inherit an increased risk of ovarian
cancer. This is particularly true if a direct relative
(mother, father, sister, or daughter) has, or has had
ovarian, breast, colon, or prostate cancer. Women with a
strong family history of ovarian cancer are more likely to
develop the disease at a younger age (prior to 50).
While statistics indicate ovarian cancer mainly occurs
in women 55 or older, one third of women who develop this
disease are much younger. Regardless of age, one thing for
all women to keep in mind is that a Pap Test does not
detect ovarian cancer. Currently, there are no reliable,
accurate screening tests in existence. However, women
should still have annual vaginal exams, as the detection of
abnormal swelling or tenderness can be an indication of
more serious problems.
Two of the diagnostic tests available are generally used
with women having a higher risk of ovarian cancer. The
transvaginal sonography or ultrasound (discussed above) is
an ultrasound performed with a small instrument placed in
the vagina. The second test involves blood work to
determine if the level of a tumor marker called CA-125 has
increased in the blood. Again, this test is primarily used
with women at high risk or who have had an abnormal pelvic
exam.
The good news is that rates of this terrible disease are
declining. But, to continue making strides in early
detection, treatment options, and survival rates, all women
need to familiarize themselves with the symptoms associated
with ovarian cancer and consult their gynecologist and
discuss concerns.
If you or someone you know has been diagnosed with
ovarian cancer, there are numerous organizations committed
to eradicating the disease. These organizations also
provide education on treatment and prevention, resources
such as support groups, and information on the latest
research. Here are some of the most well known:
Gynecologic Cancer Foundation - Established in 1991 by
the Society of Gynecologic Oncologists (SGO), the mission
of GCF is to promote public awareness about the prevention,
early detection, and treatment of gynecologic cancers.
www.thegcf.org
National Ovarian Cancer Coalition - Their mission is to
raise awareness and promote education about ovarian cancer.
The site offers state chapters, breaking news, support and
services, clinical trails, and resources.
www.ovarian.org
National Cancer Institute - This organization is under
the umbrella of the U.S. National Institute of Health. The
site provides extensive information on treatment,
prevention and causes, clinical trials, and research.
www.cancer.gov
American Cancer Society - The ACS is a community-based,
voluntary organization with chapters throughout the United
States. The mission of the ACS is to prevent cancer and
save lives.
www.cancer.org