Diagnosis of Ovarian Cancer
by Ricker Polsdorfer, MD
Your doctor will ask about your symptoms, and medical and family history. Your abdominal and pelvic regions will be thoroughly examined. This will include a pelvic exam. A pelvic exam is a thorough, manual evaluation of the vagina, cervix, uterus, fallopian tubes, and ovaries. Your doctor may suspect ovarian cancer based on your symptoms, but will look for other possible causes. If ovarian cancer is suspected, you will be referred to a doctor who specializes in gynecologic cancers.
Suspicion of Ovarian Cancer
If you have symptoms, your doctor may conduct certain tests to identify abnormalities. These may include:
Diagnosis of Ovarian Cancer
Diagnosis of ovarian cancer is confirmed with a biopsy. A biopsy is the removal of suspicious tissue for examination under a microscope. Since ovarian cancer is usually found in advanced stages, there are different methods for determining if cancer is present. These may include:
Staging of Ovarian Cancer
If ovarian cancer is confirmed, results from completed tests and new tests will help determine the stage of cancer. Staging is used to determine characteristics of the tumor that will help develop the prognosis and treatment plan. Factors that play a role in staging include where the tumor is found, how far the original tumor has spread, whether lymph nodes are involved, if cancer has spread to other tissue, and microscopic cellular details.
Surgical staging is done with an exploratory laparotomy. An incision is made in the abdominal wall to gain access to the abdominal and pelvic cavities. The areas can be examined for the presence of tumors. For ovarian cancer, this may include surgical removal of tumors, tissue, or organs in advance of other staging tests.
Tests that may help determine ovarian cancer stage:
Stages of Ovarian Cancer
Ovarian cancer is staged from 1-4:
Grouping of Ovarian Cancer
To help streamline treatment planning, stage 1 cancer is considered early stage cancer, while stages 2-4 are considered advanced stage cancer.
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Last reviewed November 2018 by EBSCO Medical Review Board Mohei Abouzied, MD, FACP
Last Updated: 1/29/2017
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