Ovaries are organs that produce female hormones and eggs and they are located in pelvis, one on each side of the uterus. Ovarian cancer usually originates in the ovaries or in the nearby areas of fallopian tubes and peritoneum. Most ovarian cancers start in the epithelial cells. If left untreated, the cancer can spread to other parts of body and called metastatic ovarian cancer.
Women should be alert to any changes in their body and discuss them with their doctor. The earlier ovarian cancer is diagnosed, the more likely that treatment will be successful. Recommended tests for suspected ovarian cancer are:
General health tests: This includes family and medical history taking, genetic counseling and testing, nutritional status, and abdominal and pelvic exam.
Blood tests: This includes complete blood count, blood chemistry profile with liver function tests, total serum protein, CA-125 and other tumor markers like HE4.
Imaging tests: Imaging of abdomen and pelvis is done using CT or MRI to detect the stage or spread of the disease.
Imaging of chest: is done using x-ray or CT to check for any metastasis/ spread to the lungs or pleura.
Tissue biopsy tests or paracentesis: A biopsy of the suspected tissue in the abdomen may be done using fine needle aspiration or core biopsy or paracentesis (removal of fluid from the abdomen)to confirm the presence of ovarian cancer. This is usually performed only if upfront chemotherapy is planned.
Treatments for ovarian cancer
Ovarian cancer is treated by a team of gynaecologic oncologist like Dr. Monika and medical oncologist.
Unilateral salpingo-oophorectomy (USO): For early stage and low-grade ovarian cancer, the gynaecological oncologist tries to save the unaffected ovary and fallopian tube and removes only the affected one.
Total abdominal hysterectomy (TAH) and Bilateral salpingo-oophorectomy (BSO): Most women with advanced ovarian cancer will undergo surgery to remove both ovaries and fallopian tubes and the womb, including the cervix, respectively.
Debulking or cytoreductive surgery: The surgeon will try to remove as much of the cancer as possible, if it has spread to other areas in pelvis or abdomen.
After surgery, chemotherapy either in the form of intravenous (IV) or intraperitoneal (IP) is recommended for most cases of ovarian cancer. Hyperthermic intraperitoneal chemotherapy (HIPEC) is given for stage 3 epithelial ovarian cancers only.
It is treatment with medicine that target a specific or unique feature that helps cancer cells to grow.
Sometimes, immunotherapy, which increases the activity of your immune system, is employed.
Dr. Monika Pansari is one of the few and the best female cancer surgeon in India. She is trained and specializes in the management of all types of cancer surgeries but she has keen interest with additional training in the management of all types of Breast, Gynaecological and peritoneal surface cancer surgeries.
Dr. Monika Pansari
Gynecologic Cancer Surgeon
Dr. Monika Pansari
Ovarian Cancer Surgeon in Bangalore
"Being diagnosed with Ovarian Cancer can be challenging. Lots of thoughts come to mind. Do Not Worry.
I , Your Sakhi - Your Friend, am available to guide you & support you in this fight against cancer and Together We Will Win"
I am on a mission to help Women Cancer Patients and thats why I founded Sakhi Oncology.
Dr Monika is awesome!! Not only is she an excellent surgeon but most importantly to us as patient and caregiver, she has been warm, empathetic, and very supportive. She has always made time to answer our questions and been encouraging throughout my wife's cancer journey. We are very grateful to her.
My mom was suffering with endometric carcinoma. Dr Monica guided us with a right treatment and operated my moms surgery successfully. She was available to answer our queries after the surgey as well. She was sweet and helped us curing the disease. Really happy with the service.
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