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S/S OF OVARIAN CANCER
-NON PALPABLE OVARIES IN POST MENOPAUSAL WOMEN
-PELVIC PRESSURE/HEAVINESS
-INCREASED SIZE OF ABDOMEN (GIRTH)**
-BLOATING,CONSTIPATION
-DYSPEPSIA
-FLATULENCE
-URINARY FREQUENCY
-ASCITES WHICH CAN CAUSE SOB
MED/SURG TXT FOR OVARIAN CANCER
-TOTAL ABDOMINAL HYSTERECTOMY W/ BILATERAL SALINGO-OOPHORECTOMY
-TAHBSO + POSSIBLE OMENTECTOMY
-POST OP CHEMO: 12 MOS CISPLANTIN OR CARBOPLANTIN W/ CYTOXAN + ADRIAMYCIN
-FOR RECURRENT TUMORS:TAXOL,DOXIL,TOPOTECAN
NSG FOR OVARIAN CANCER
FOLLOW UP CARE:
-PE BIMANUAL
-CA 125 LEVELS EVERY 3-4 MOS
-INCREASED CA 125 LEVELS= FIRST SIGN OF RECURRENCE
CAUSE OF OVARIAN CANCER
LEADING CAUSE OF CANCER REPRODUCTIVE CANCER DEATHS
RISKS:
-FAMILIAL TENDENCIES
-# OF OVULATION
-NULLIPARITY
-INFERTILITY
-ANOVULATION
-WOMEN WITH BREAST CANCER
DX TEST FOR OVARIAN CANCER
-CAT SCAN(TO DETERMINE PRESENCE OF PELVIC MASS)
-CA 125 TUMOR MARKER( INCREASES W/ OVARIAN CANCER)