Ovarian cancer physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]
Signs and symptoms of ovarian cancer include:
- abnormal vaginal bleeding
- a lump that can be felt (palpable) in the pelvic or abdominal area
- need to urinate often (frequency)
- intense need to urinate (urgency)
- constipation
- changes to digestion (such as difficulty eating, feeling full after a small meal, heartburn, gas , indigestion or nausea)
- feeling of pressure in the pelvic or abdominal area
- fatigue
- pain in the legs, lower back, pelvis or abdomen
- bloating (swelling of the abdomen)
- painful intercourse
- Other signs and symptoms may also occur with some types of ovarian cancer. Symptoms of stromal tumours include:
- early puberty
- breast enlargement or tenderness
- menstrual irregularity in premenopausal women
- vaginal spotting in post-menopausal women
- hardening of the tissues of the vagina in post-menopausal women
- secondary male sex characteristics (such as increased growth of body and facial hair, deepened voice, male-pattern baldness or enlargement of the clitoris)
- Symptoms of germ cell tumours include:
- early puberty
- fever
- Late signs and symptoms
- Late signs and symptoms occur as the cancer grows larger or spreads to other parts of the body, including other organs.
- buildup of fluid in the abdomen (ascites)
- buildup of fluid around the lungs (pleural effusion)
- weight loss
- bowel obstruction
- buildup of lymph fluid (lymphedema) in the legs