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What Are The Symptoms Of Ovarian Cancer?

Posted on Thu, 30 Apr 2015

Question: ca125 of 42, alt blood of 85 and gt of 163, positive anti gastric par cell, low ferritin, multiple echogenic areas right liver lobe with appearance of haemangomia and metastases, 2 fibroids, 2 ovarian cysts and 1 kidney cyst ?

Answered by Dr. Rakesh Madhyastha (28 minutes later)

Brief Answer:
need more information

Detailed Answer:
Hello

Thanks for the query

I have noted your reports and I understand you might be having metastasis. However in order to help you better I need more info

1. What symptoms did you approach the doctor with ?
2. What treatment are you currently on right now ?
3. Was any Positron emission tomography done ?
4. was any further tests done to know if there was a primary ?
5. More importantly, have you lost weight in the recent past ? any family history of malignancy ?

Please get back to me, I am awaiting your reply

Regards

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Rakesh Madhyastha (4 hours later)

Haven't had anything done yet, no treatment, no positron emission tomography, cat scan or mri, no tests for primary yet, no family malignancy, didn't do to doctor with any symptoms, went for full blood tests in december, liver function and ca125 were elevated, had bloods repeated in march, both elevated further so was sent for ultrasound, thats when all tumors and cysts showed and why being referred further. Do have pressure in lower pelvic area, discomfort in abdomen and feeling of fulness, maybe indigestion having to breathe deeply, bladder- need to pass water practically every ten mins, do have ibs with daily loose movement, but recent weeks function sluggish. Take daily ramipril 2.5mg, sertraline 100mg, cataflam 25mg, had endometrium ablation 5 years ago with no bleed since, 1998 and 1999 had iui and ivf used clomifine, went into labour at 20wks and lost my little girl.

Answered by Dr. Rakesh Madhyastha (15 hours later)

Brief Answer:
Malignancy

Detailed Answer:
Hello

Thanks for getting back with the details. I am extremely sorry for the loss of your baby girl

From the history you have provided it looks like there could be a malignancy. Here is how you should go about it
1. Approach a medical oncologist
2. It is important that you undergo contrast enhanced CAT scan or MRI to know the primary.
3.Biopsy and follow through will also be required.
4.Please do not delay this any further as things will only worsen over time.
5. Please continue to take all the medications you are currently on

Please do not lose hope, most cancers when caught early are either curable or treatable. It only becomes difficult when it is left neglected to go into the last stage.

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (21 hours later)

Thank you. Obviously you don't know and you haven't seen my ultrasound results, but please, from what you do know, where do you think primary is most likely to be, if I have it. My ultrasound report said gb, cbd, pancreas, spleen, aorta,ivc are normal.Explained above hat liver showed, there are no enlarged lymph nodes or ascites. Theres a cyst in the middle of the right kidney, no cysts in left kidney, no stones solid masses scarring or hydronephrosis in either kidney.Have had endometrial ablation, is thinned in most but measures 8.4mm in the fundus. Have 2 small fibroids, one in anterior body and one in posterior, right ovary normal, 2 follicles on left ovary and free fluid in the pouch of XXXXXXX Am going to hospital next monday for tests, what tests should I expect, and are results known on the day or do they take time.

Answered by Dr. Rakesh Madhyastha (17 hours later)

Brief Answer:
Primary

Detailed Answer:
Hello

Thanks for getting back

From the USG report that you have jotted down, it is possible that the primary could be either in the colon, lungs or in the breast. It is unlikely to be from the ovaries or from the kidneys.

You expect the following tests
1. Contrast enhanced CAT scan
2. PET scan
3. They might want to repeat renal function test before taking you up for contrast
4. Colonoscopy if nothing is found on the above two scans

The results will arrive the same day, in some hospitals they give the report within 2 hours

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (1 hour later)

Wow, that is a XXXXXXX my thoughts were ovaries, uterus, endometrium, womb related anyway. Please may I ask what results from ultrasound indicate more the 3 you mentioned, lungs, breast, colon, and what symptoms should I look out for. I haven't lost weight, have gained it, do have shoulder pain and tightness in chest, abdominal discomfort, very frequent waterworks, strong dull pain in lower back. Please tell me as much as you can, I think this is my final question, think it is 2 follow up questions. Thank you for all your help.
Kind Regards

Answered by Dr. Rakesh Madhyastha (8 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

Patients with ovarian cancer usually have a symptoms which are profound like mets to the liver, lungs and brain. The the progression of the disease is very fast and loss of weight is also profound. Ultrasound would have picked up irregularities in the USG and also ovarian cancer usually runs in the family.

The fact that the USG is unremarkable makes me think of a primary which the USG cannot pick up, which is why I mentioned other possible organs. However you must undergo further tests to confirm Carcinoma in the first place. It could be something benign as well.

I wish you all the very best, please do get back to me on what the CAT scan had to tell.

Regards

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar