Ovarian Cancer Treatment

Ovarian Cancer Treatment

Detection and Prevention

Criteria for effective screening

Until now there is no tool that effectively and efficiently in the early detection of ovarian cancer

Routine pelvic examination per year. This examination is used to detect early ovarian cancer fatherly but do not have high sensitivity

Cancer antigen 125 (CA-125). This antigen is expressed by 80% of epithelial ovarian cancer nonmusinous. Levels higher than 35 U / ml is abnormal

Transvaginal ultrasound. This tool is considered for a screening tool combined with Doppler examination

Prevention. If a woman's pelvic surgery, then the decision would prevent the ovaries as well as the risk of ovarian cancer forever. But keep in mind risks of early and will premenopausal osteoporosis and heart disease that may arise due to removal of the ovaries. Besides the use of contraceptive pills are also recommended

Examination Support

Ultrasonography (USG) to clarify the disease

Classification of Ovarian Cancer

Ovarian cancer has four stages, namely:

Stadium

Area

Survival rate 5 Years

Cancer in 1/2 ovaries. Cancer can be found on the surface of the ovary93.6%

Cancer involves a 1/2 ovaries with extension to the pelvis (uterus, fallopian tubes, bladder, colon)

Cancer has spread beyond the pelvis to the abdominal wall, abdominal organs, small intestine, lymph nodes, liver surface

The final phase of ovarian cancer. Spread to distant organs such as spleen, lung, liver (in part)

Therapy

Therapy of ovarian cancer depends on stage of disease, type of disease (primary or recurrent <kambuh kembali>), treatment options, and body condition.

Ovarian cancer is atypical

This atypical cancers have different properties than other types of ovarian malignant cancer. Commonly found in women age 40 years (malignancy by age 60 years). 20% of early stage can spread to the intra-abdominal (stomach) and require surgical treatment. Atypical ovarian cancer patients with early stage that still want to retain their fertility can perform unilateral salpingo-oophorectomi (surgical removal of the ovaries that contain cancer)

Early-stage ovarian cancer

Early-stage ovarian cancer is stage I and II. Therapy that can be done at this stage is the operation (total abdominal hysterectomy, bilateral salpingo-oophorektomi), chemotherapy (the cases with a low cure rate, given after surgery), and radiation

Advanced-stage ovarian cancer

This stage always need optimal surgical treatment followed by chemotherapy after surgery to improve survival. Radiation throughout the abdomen (whole abdominal radiation) may be an alternative to chemotherapy

Recurrent ovarian cancer

Patients with recurrent ovarian cancer are candidates for surgery a second time with chemotherapy using a different agent. Hormonal therapy can also be used. Therapy is still in the research is stem cell therapy, immunotherapy using interferon, and genetic therapy