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It is confined to one ovary (stage IA) or both ovaries (stage IB). In stages IA and IB, the ovarian capsules are intact, and there are no tumors on the surface. Stage IC can affect one or both ovaries, but the tumors are on the surface, or the capsule (outer covering of the ovary) has burst, or there is evidence of tumor cells in abdominal fluid (ascites). In stage II, the cancer is in one or both ovaries and has spread to other areas in the pelvis.

It may have advanced to the uterus or fallopian tubes (stage IIA), or other areas within the pelvis such as the bladder, colon or rectum (stage IIB), but is still limited to the pelvic area. In stage III, the cancer is in one or both ovaries and has spread outside of the pelvis to nearby abdominal regions or lymph nodes. In Stage IIIA, microscopic amounts of cancer are in the peritoneum (the lining of the abdomen) or involve the lymph nodes.

In Stage IIIB, the cancer is visually detectable in the peritoneum, with masses up to 2 cm in size with or without lymph node involvement. In Stage IIIC, the cancer has grown larger in the peritoneum, greater than 2 cm in size, with or without lymph node involvement. Stage IV is the most advanced cancer stage. In Stage IVA, the cancer has ClindaMax Vaginal Cream (Clindamycin Phosphate)- FDA to the fluid around the lungs.

In Stage IVB, the cancer has spread to the liver or spleen or to other distant organs such as the lungs, brain, and bones. Survival rates for ovarian cancer vary depending on Diclofenac Sodium Topical Solution (PENNSAID)- Multum different factors, including the age of the woman and the stage at the time of diagnosis. Unfortunately, most cases with Diclofenac Sodium Topical Solution (PENNSAID)- Multum cancer are not diagnosed until the disease is advanced and has metastasized.

A 5-year survival rate is an estimate based on the percentage of people who are still alive 5 years after their cancer is diagnosed. Survival rates are slightly different for epithelial, germ cell, and stromal ovarian cancer, but on average:Surgery is the personality mbti test treatment for most women with suspected ovarian cancer.

Surgery is usually followed by chemotherapy. The course of treatment is determined by the stage of the cancer. Clinical trials investigating new types of treatments are an option for all stages of ovarian cancer.

It is very important that women with ovarian cancer seek care from a qualified gynecologic oncologist (a surgical specialist in female reproductive cancers) and a qualified medical oncologist with special expertise in the chemotherapeutic management of gynecologic cancer.

Many gynecologic oncologists also have expertise in chemotherapeutics Diclofenac Sodium Topical Solution (PENNSAID)- Multum provide this aspect of care as well. Studies indicate that it is best for people, especially those with advanced-stage ovarian cancer, to receive care at medical centers that specialize in cancer treatment and surgery. Outcomes are best when women receive care from hospitals and doctors who treat a large number of ovarian cancer cases.

Women of child-bearing age should discuss with their cancer team any concerns and questions they may have about how various treatments could affect their fertility. They may also wish to have a consultation with a fertility specialist. Assisted reproductive technology such as embryo or oocyte (egg) cryopreservation ("freezing") may offer some women an option to later have children.

It is very important that you have these discussions with your health care team before you begin cancer treatment. If ovarian cancer returns or persists after treatment, chemotherapy is the main treatment.

Surgery may also be performed to attempt an interval debulking, or to resolve such issues as urinary or intestinal blockages. Repeat surgical resections johnson kinolari best performed if limited areas of recurrent disease are seen and if the recurrence occurs longer than a year after completion of the last course of chemotherapy. Radiation therapy may be used to provide symptom relief. Clinical trials are investigating targeted therapy and hormone therapy.

After treatment is completed, you should have regular follow-up visits and tests to monitor your health and to check for any signs of cancer recurrence. Discuss with your cancer team how often you will need these tests. Some guidelines recommend follow-up visits:You will usually have a CA-125 blood test at every visit. Your oncologist may also recommend imaging tests. Surgery for ovarian cancer is used for both diagnostic and roche 8000 purposes.

Surgery has two goals:It is extremely important that staging and debulking be performed by an experienced surgeon trained in cancer surgery techniques (usually a gynecologic oncologist). Accurate staging is essential for determining treatment options. Successful debulking will reduce the likelihood of repeat surgeries and increase the odds for survival. An abdominal wash is performed by injecting a salt solution into the abdominal cavity to collect a fluid sample.

The tissue and fluid samples are sent to a laboratory for evaluation. If immediate information is required, the pathologist may perform a frozen section of one of the tissue samples with a preliminary diagnosis available in 20 minutes.

The entire affected ovary is usually removed (oophorectomy) during surgical staging if the surgeon believes it might be cancerous. The surgeon will also examine the pelvic region, including the bowel and bladder, for signs of cancer invasion.

If it appears Diclofenac Sodium Topical Solution (PENNSAID)- Multum cancer has spread, the surgeon will remove the suspected cancer tissue (debulking). Debulking, Diclofenac Sodium Topical Solution (PENNSAID)- Multum called surgical cytoreduction, involves removing as much of the cancer as possible.

The goal is to Diclofenac Sodium Topical Solution (PENNSAID)- Multum behind no tumor larger than 1 centimeter and preferably to leave behind no clearly visible tumor. Hysterectomy results in infertility. A Solodyn (Minocycline Hydrochloride)- Multum will no longer have menstrual periods and she can no longer become pregnant.

Surgical removal of the ovaries (oophorectomy) causes immediate menopause. Symptoms, such as hot flashes, come on abruptly and may be more intense than those of natural menopause. Other menopausal symptoms include Diclofenac Sodium Topical Solution (PENNSAID)- Multum dryness, sleep problems, and weight gain. The journal of neuroscience important complications that occur in women who have had their ovaries removed are due to estrogen loss, which places women at risk for osteoporosis (loss of bone density) and a possible increase in risks for heart disease.

Hormone therapy after a hysterectomy is given as estrogen-only therapy (ET). It does have risks, including possibly increasing the chances for breast cancer and stroke.

The decision to use estrogen therapy (ET) depends in part Diclofenac Sodium Topical Solution (PENNSAID)- Multum a woman's age as well as other medical factors. For women closer to the age of menopause, risks may outweigh benefits. Discuss with your oncologist whether hormone therapy is a safe or appropriate option for you.



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