What is ovarian cancer?
Ovarian cancer is an abnormal and uncontrollable growth of cells or tissues in the ovary.
Cancers are usually termed after the area of the body where they initially appear. Ovarian cancer originates in the ovary. If the cancer is malignant, it has the potential to spread to other areas of the body, including the pelvic and abdominal regions.
What are the Signs of Ovarian Cancer?
Ovarian cancer can be asymptomatic in many cases. Sometimes, it may induce symptoms that may go unnoticed or taken lightly. Here are some signs of ovarian cancer you shouldn’t ignore:
- Unusual swelling in the abdomen
- Frequent bloating
- Pelvic discomfort and/or pain
- Reduction or loss of appetite
- Unexplained weight loss
- Menstrual irregularities like missed periods, heavy bleeding, or spotting without periods
- Back pain
- Fatigue
- Constipation
- Frequent urination
In case you are suffering from any one of the above-mentioned symptoms then you should at the earliest seek the guidance of Dr Saphalta Baghmar. She is considered the best Ovarian Cancer Specialist in Delhi.
What are the different stages of ovarian cancer?
There are four different stages of ovarian cancer.
- Stage 1 ovarian cancer occurs when cancer has spread to one or both ovaries.
- Stage 2 ovarian cancer is seen when the cancer is diagnosed in both ovaries and has progressed to other sites, such as the uterus or fallopian tube.
- Stage 3 ovarian cancer involves not just the ovaries and other reproductive organs, but also other regions of the abdominal cavity.
- Stage 4 ovarian cancer occurs when the disease has progressed to all areas of the pelvis, abdomen, and other regions of the body, such as the liver and lungs.
How is Ovarian Cancer Diagnosed?
The diagnosis before the ovarian cancer treatment involves several physical and imaging tests. These tests help in detecting and determining the size, stage, and severity of the tumor. Note that a biopsy is used to confirm cancer at the end of the diagnosis. Some of the common tests for ovarian cancer diagnosis include:
Physical Exam
Here, the doctor conducts a physical pelvic exam. They examine your external genitalia, cervix, and the vaginal canal. This helps them detect any unusual growth or structure in the pelvic area.
Imaging Tests
The doctor may prescribe some imaging tests like a CT scan and ultrasound of the abdomen. This helps locate the tumor and estimate its size.
Blood Tests
Blood tests help in estimating the organ function status and other factors like hormonal levels. This also detects tumor markers present in the blood that may indicate the presence of tumor cells in the body.
Surgery
In some cases, surgery is performed to closely analyze the ovaries and the surrounding organs for any cancerous growth.
How Long Does Ovarian Cancer Surgery Last?
Ovarian cancer surgery may take anywhere between one to three hours. It mainly depends on the nature and objective of the procedure.
After the surgery, you may have to stay at the hospital for around a week under the doctor’s observation. It usually takes around three months to fully recover from the procedure. Talk to your ovarian cancer doctor about your expected recovery period and the precautions you need to take during the time beforehand.
Can Ovarian Cancer Result in Infertility?
Ovarian cancer and its treatment may potentially cause future difficulties in getting pregnant. In some severe cases, it may even lead to infertility.
A hysterectomy removes the ovaries and hence eliminates the chances of conceiving. Similarly, chemotherapy often leads to primary ovarian insufficiency. It is a condition where the ovaries are unable to function properly due to the harsh action of the chemotherapy drugs.
Modern medicine has, however, experienced significant advances. If only one of your ovaries is removed during a hysterectomy, you should be able to get pregnant later on. Also, you can consider undergoing procedures like egg or embryo freezing with your ovarian cancer doctor.
What are the Lifestyle Changes Required After an Ovarian Cancer Surgery?
After ovarian cancer treatment, you need to make some lifestyle changes to ensure your good health. Here are some some habits you should adopt after an ovarian cancer surgery:
- Schedule regular follow-up appointments, tests, and screenings
- Talk about the potential long-term side effects of the treatment with your ovarian cancer doctor and the best ways to address them.
- Adopt a physically active lifestyle
- Switch to a healthy and clean diet
- Maintain a healthy weight
Note that there could be additional changes based on the specifics of your condition and the treatment. Consult with your doctor after the ovarian cancer treatment about the necessary lifestyle changes.
What are the risk factors for ovarian cancer?
Certain risk factors enhance the likelihood of ovarian cancer:
- One of the leading causes of ovarian cancer is advancing age.
- Inherited gene mutations: 5-10% of ovarian cancers are caused by gene mutations inherited from parents. The genes known to increase the risk of ovarian cancer are called breast cancer gene 1 (BRCA1) and breast cancer gene 2 (BRCA2). These genes also increase the risk of breast cancer
- Hormone replacement therapy (HRT), particularly oestrogen-only HRT, raises the risk of cancer.
- Menstrual cycle irregularities: early menarche and delayed menopause raise the risk of ovarian cancer.
- Smoking, being overweight, and a lack of physical activity are all lifestyle factors that increase the risk of ovarian cancer.
What is the Cost of an Ovarian Cancer Treatment in India?
In India, the ovarian cancer treatment cost varies based mainly on the severity of the cancer, the treatment plan, and the location of the hospital providing the treatment. The table below depicts different Indian cities with their respective average costs of ovarian cancer treatment.
Name of the City
|
Average Cost of Ovarian Cancer Treatment
|
Delhi
|
INR 1,40,000
|
Gurgaon
|
INR 1,37,000
|
Bangalore
|
INR 1,26,000
|
Chennai
|
INR 1,15,000
|
Mumbai
|
INR 1,30,000
|
Hyderabad
|
INR 1,18,000
|
Pune
|
INR 1,12,000
|
Noida
|
INR 1,36,000
|
Note that these are only the average amounts and the actual treatment price may vary based on the hospital, the doctor, and the additional expenses.
What are the treatment options available for cancer?
Ovarian cancer can be treated in a variety of ways, including:
- Surgery: One of the most important treatment options is surgery. All visible tumours are removed during the procedure. If cancer reaches an advanced stage and spreads extensively then organ removal surgery may be required to eliminate it.
- Chemotherapy is another treatment method that employs the use of powerful chemicals to kill cancer cells. This can be administered either before or after surgery to eliminate any residual malignant cells.
- In addition to chemotherapy, treatments such as angiogenesis inhibitors and targeted therapy are used.
Being diagnosed with ovarian cancer can cause a great deal of anxiety and stress. It is critical to speak with an expert oncologist who can provide you with a thorough understanding of the available treatment choices that are appropriate for the stage of cancer that you are at. This tumor, even if advanced stage can be controlled.
FAQ'S
The main symptoms of ovarian cancer include continued or recurring constipation, abdominal distention, and bloating sensation. This is due to the accumulation of the cancerous mass in the abdominal area around the ovaries and the release of fluid. Other major signs include irregular vaginal bleeding, sudden weight gain or loss, pain and/or discomfort in the lower abdomen and the pelvis, and shortness of breath. Many women also experience swelling in the feet, unexplained back pain, and constant fatigue. Note that some cases of ovarian cancer do not show noticeable symptoms, especially in the early stages. So if you notice these signs, consult with your doctor immediately.
Women with a history of infertility issues or other uterine conditions like endometriosis are at a higher risk of developing ovarian cancer. Undergoing Hormone Replacement Therapy (HRT) or taking medications to mediate pregnancy can also tip up your chances of developing this disease. Women who have a history of breast cancer, especially after the age of 40 are known to be at an increased risk of ovarian cancer. Other factors like genetic features, environmental triggers, and treatments like radiation therapy may also raise the threat. If you have any of these risk factors, consult with your doctor and preferably undergo regular screening.
While pain in the ovaries might be an indication of a health issue, that is not always the case. Many women experience pain in the ovarian region during different stages of their menstrual cycle. Dysmenorrhea, or the cramping sensation prior to the periods, may cause this pain due to the release of prostaglandins. Some women also experience brief and mild pain or a sensation in the ovaries during ovulation. Therefore, pain in the ovaries is not necessarily a bad thing. However, if the pain persists or if it concerns you, it is best to consult with a doctor, get a proper checkup, and clear out your doubts.