Definition
Ovarian cancer is cancer that starts in the ovaries. The ovaries are the female reproductive organs that produce eggs.
Symptoms
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Definition
Ovarian cancer is cancer that starts in the ovaries. The ovaries are the female reproductive organs that produce eggs.
Symptoms
Additional symptoms that may be associated with this disease:
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Causes
A woman has a 1 in 67 chance of developing ovarian cancer. Ovarian cancer is the fifth most common cancer among women, and it causes more deaths than any other type of female reproductive cancer.
The cause is unknown.
The risk for developing ovarian cancer appears to be affected by several factors. The more children a woman has and the earlier in life she gives birth, the lower her risk of ovarian cancer. Certain genes (BRCA1 and BRCA2) are responsible for a small number of ovarian cancer cases. Women with a personal history of breast cancer or a family history of breast or ovarian cancer have an increased risk for ovarian cancer.
The use of fertility drugs may be associated with an increased chance of developing ovarian cancer, although this is a subject of ongoing debate.
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Treatment
Surgery is the preferred treatment and is often needed to diagnose ovarian cancer.
Studies have shown that surgery performed by a specialist in gynecologic oncology results in a higher cure rate.
Chemotherapy is used as after surgery to treat any remaining disease. Chemotherapy can also be used if the cancer comes back.
Radiation therapy is rarely used in ovarian cancer in the United States.
Outlook (Prognosis)
Ovarian cancer is rarely diagnosed in its early stages. It is usually quite advanced by the time diagnosis is made. The outcome is often poor.
- About 76% of women with ovarian cancer survive 1 year after diagnosis.
- About 45% live longer than 5 years after diagnosis.
- If diagnosis is made early in the disease and treatment is received before the cancer spreads outside the ovary, the 5-year survival rate is about 94%.
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Prevention
Having regular pelvic examinations may decrease the overall risk. Screening tests for ovarian cancer remains a very active research area. To date, there is no cost-effective screening test for ovarian cancer, so more than 50% of women with ovarian cancer are diagnosed in the late stages of the disease.
Recent research has shown that surgery to remove the ovaries in women with mutation in the BRCA1 and BRCA2 genes can dramatically reduce their risk of developing ovarian cancer.
References
American Cancer Society. Cancer Facts and Figures 2006 . Atlanta, Ga: American Cancer Society; 2006.
Abeloff MD, Armitage JO, Niederhuber JE, Kastan MB, McKena WG. Clinical Oncology . 3rd ed. Orlando, Fl: Churchill Livingstone; 2004:2317.