Ovarian Cancer Month: The Facts

25th March 2013

March 2013 is Ovarian Cancer Month, the ideal time for you to find out the facts about ovarian cancer. As the fifth most common cancer among women, ovarian cancer affects over 6,500 women in the UK each year. Although most common among women over the age of 50, it’s a cancer that can strike at any age.[1] This makes it essential that all women know the symptoms, causes and possible treatments:

What is ovarian cancer?

Ovarian cancer is the multiplication of abnormal cells in the ovary. These cells divide and multiply, forming masses of abnormal cells known as tumours. There are two different types of tumours – benign and cancerous. Benign tumours do not spread, whereas cancerous tumours can spread to other parts of the body if left untreated.

There are three different types of ovarian cancer, including:

-       Epithelial Ovarian Cancer. This affects the surface of the ovary and is the most common type of ovarian cancer.

-       Germ Cell Tumours. These are tumours which form in the ovarian cells that make eggs.

-       Stromal Tumours. These develop within the connective tissue cells that hold the ovaries together.

Accounting for 90 per cent of all cases of ovarian cancer, Epithelial Ovarian Cancer (surface layer tumours) is by far the most common type.[2]

What are the symptoms?

There are several early warning symptoms of ovarian cancer. However, these can easily be dismissed or misdiagnosed, as they are also symptoms of less serious illnesses. It is therefore vitally important that anyone suffering the following symptoms gets them checked by their GP.

Main symptoms:

-       Stomach pain

-       Bloating

-       Difficulty in eating (feeling full quickly)

-       Needing to pass water frequently[3]

Occasional symptoms:

-       Diarrhoea or constipation

-       Fatigue

-       Back pain[4]

The above symptoms may be experienced in some cases. However, it’s important to remember that they are also symptoms of many other illnesses and conditions.

There’s a useful BEAT Test[5] available at www.nhs.uk, which takes you through all the common symptoms of ovarian cancer. B is for bloating, E is for eating difficulties, A is for abdominal pain and T is for talking. benenden health members can access the 24/7 GP advice line, to discuss any symptoms that are concerning them.

What causes ovarian cancer?

There are some factors that have been identified as giving an increased risk of ovarian cancer, including.[6]

Those with two or more close relatives who have developed either ovarian or breast cancer may be at a higher risk of also developing the condition. If those close relatives developed ovarian cancer before the age of 50, this may be a marker of a faulty family gene, which can be inherited. You can be tested for this gene, if eligible.

As most cases of ovarian cancer occur after a woman has been through the menopause, the risk increases with age. 8 out of 10 women who develop the condition will do so over the age of 50.

Some studies have shown a link between egg release and ovarian cancer. This is thought to be because every time an egg is released from the ovary the surface is damaged and needs to be repaired. It is during this repair process that abnormal cells can grow.

Anything that stops the process of ovulation can help minimise your chances of developing ovarian cancer. For example taking the contraceptive pill, having multiple pregnancies or breastfeeding.

Taking hormone replacement therapy has been found to increase the risk of developing ovarian cancer slightly.[6]

Women who suffer from endometriosis may be at an increased risk of developing ovarian cancer.

How is ovarian cancer diagnosed?

There are several steps to diagnosing ovarian cancer[7]. These include:

-       Symptoms check

Your GP will check your symptoms and also discuss any family history with you.

-       Internal examination

Your GP may wish to carry out an internal examination.

-       Blood test

You may be referred for the CA125 blood test, which identifies a chemical in the blood that can be a marker of ovarian cancer.

-       Ultrasound scan

An ultrasound scan will allow a practitioner to ‘see’ your ovaries, and examine their size and texture. They will usually be able to see any cysts or tumours in or on the ovary.

If you are diagnosed with ovarian cancer, then other tests may be required to give a clearer picture. These may include a chest X-ray, a CT or MRI scan, abdominal fluid aspiration (to check the abdomen for cancer cells) and a laparoscopy (a camera inserted into the abdomen to take a better look at the ovaries). All of the above tests will help to identify the stage and grading of the ovarian cancer.[8]

Treatment for ovarian cancer

Treatment will depend on the severity and grading of the ovarian cancer. The two main treatments are surgery and chemotherapy:[9]

-       Chemotherapy

The aim of chemotherapy is to shrink the tumours. This may also be used in cases of incurable ovarian cancer to improve the quality of life for the patient.

-       Surgery

Depending on the severity of the cancer, surgical options include removing the ovaries and fallopian tubes, removing the uterus (hysterectomy) or removing a layer of tissue within the abdomen.

Different types of surgery will have varying recovery times. The consultant will be able to advise on each case individually.

Living with ovarian cancer

An ovarian cancer diagnosis and the treatment that follows will affect the day-to-day life of the patient. How much it is affected will depend on the severity of the condition, the required treatments and other factors, including the patient’s general health and support network.

Everyone is different, but the following can help to deal with a difficult time[10]:

-       Emotional support

Emotional support is likely to be invaluable, so don’t be afraid to lean on friends and family. Talking to others in a similar situation can also be reassuring – there are specific cancer forums on the Macmillan website.

If you feel that it would help you to have professional counselling, speak to your GP about a possible referral. benenden health members can access the 24/7 counselling helpline to talk through worries and concerns.

-       Practical support

Getting the practical support that you need is also vital. You may need to take time off work, lessen your workload around the home or have someone take you to appointments. You’ll also need to be well looked after following any surgical procedures, so make sure that those around you know what they can offer in terms of helping with the practicalities.

-       Learning about the condition

Knowing all the facts about ovarian cancer, and how they relate to your specific case can help you to feel more in control of the situation.

-       Rest and relaxation

It’s important to look after yourself during this difficult and draining time. Try to maintain a healthy balanced diet and gentle exercise, and get as much rest as possible. Be kind to yourself and your body.

The aim of Ovarian Cancer Month is to ensure that women have the information that they need to recognise the symptoms of ovarian cancer, and know the possible risk factors and the available treatments.

The key to the most successful treatment of ovarian cancer is increased awareness, so do your bit during the month of March and beyond to spread the message.

[9] http://www.nhs.uk/Conditions/Cancer-of-the-ovary/Pages/Treatment.aspx

[10] http://www.nhs.uk/Conditions/Cancer-of-the-ovary/Pages/living-with.aspx

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