Facebook LIVE AWARENESS LECTURE on Ovarian Cancer 28 th September 20

*Please join me in spreading the awareness of reducing the incidence of Ovarian Cancer in India*

Translation from Marathi to English:

The over all *incidence* of ovarian tumour is 11.7% in India. It’s more common between 55-70 years of *age*.

*Risk factors* are

early menarche,

late menopause,

low parity,

infertility ,

genetic familial history, mutation in genes.

*Symptoms and Sign*:

Asymptomatic or Symptomatic:

pain in the abdomen, swelling and distension of the abdomen, Facebook live interview of Dr Niranjan Chavan on Ovarian cancer

ascitis, lymph nodes palpable, oedema feet,

weight loss, cachexia.

*Investigations*:

Routine

USG pelvis,

Doppler

Tumour markers,

MRI.

*Treatment*:

*Early stage*:

Staging laparotomy with debulking of ovarian tumour with partial or complete omentectomy followed by chemotherapy.

*Role of laparoscopy*:

I don’t recommend unless the tumour size is less then 5-8 cm.

*Disadvantage*:

Port metastasis, spillage leading to upgradation of the stage of the tumour. Metastasis.

*Advance Stage*: Chemotherapy and / or Radiotherapy.

Salvage chemotherapy

Intraperitoneal chemotherapy.

*Poor prognosis* when diagnosed in 3rd , 4th stage.

Those women who have strong history of familial history and are BRCA1-2 positive should undergo Bilateral salphigo- opphorectomy after the age of 35 years.

*Dr Niranjan Chavan*.