Sunday 23 September 2018

OVARIAN CANCER. THE SILENT ILLNESS


Ovarian cancer is named ‘the silent illness’ because it has an insidious nature and has a variety of similar symptoms resembling those of benign pathologies.

Ovaries form part of the female reproductive system and are located in both sides of the uterus within the abdominal cavity.

According to the Spanish Association Against Cancer, the highest rates of incidence of ovarian cancer are recorded in Europe, especially in the United Kingdom, Germany, Sweden and Spain. The United States of America also have high rates of incidence.
Countries within Latin America are also affected by this pathology in a greater or lesser proportion however; incidences of ovarian cancer are less common in South Asia and Africa.

WARNING SYMPTOMS
Ovarian cancer presents similar symptoms as those of other benign pathologies, therefore it is usually diagnosed when it is in its advanced stages. That is why scientific associations and societies, insist on people looking out for the symptoms detailed below.

1. Inflammation or abdominal swelling
2. A feeling of repletion after meals
3. Loss of appetite
4. Pain or pelvic/abdominal discomfort
5. Urgency to urinate and a necessity to do so much more frequently than usual
6. Changes in intestinal routines
7. Back pain
8. Abnormal vaginal bleeding
9. Inexplicable weight loss
10. Extreme tiredness

The National Health Service (NHS) in UK recommends that if the symptoms persist for more than three weeks, especially the first five mentioned above, a doctor should be consulted immediately.

RISK FACTORS
Ovarian cancer is of an unknown origin, however there are certain factors that can influence its development such as:

1. Age
It is more frequent in women older than 50 with only a small percentage of younger women suffering from this pathology
2. Genetics
Women with mutations of the genes BRCA1 or BRCA2 have a higher probability of developing ovarian cancer
3. Genetic predisposition
The emergence of ovarian cancer is more frequent in women with a prior family history of breast cancer, ovarian cancer and colon cancer
4. Substitutive oestrogen therapy during menopause
5. Menarches or emergence of the first menstrual cycle in women below the age of 12, and late menopauses (Over the age of 55)
6. Nulliparity (Being childless)
7. Overweight
8. Tobacco

DIAGNOSIS
  • Blood test                                                                                                                   
The detection of the substance CA 125 in the blood could indicate the presence of ovarian cancer, although it could also emerge elevated if suffering from other benign pathologies and could even appear normal in the first stages of the illness.
  • CT Scan
  • Biopsy of the tumour
  • Laparoscopy
TREATMENT
  • Surgery, chemotherapy, etc.

PREVENTION
Even though there are no specific measures to prevent ovarian cancer, it has been proven that moderate physical exercise alongside quitting smoking and drinking alcohol, contributes to the prevention of all types of cancer and specifically ovarian cancer. Similarly, maintaining a diet low in saturated fats and rich in fruits and vegetables, would maintain our bodies in an optimum state of health to fight this disease.

Dr J. Hurtado Martínez
Medical Director of HealthSalus

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