OVARIAN CANCER

Common complications of ovarian cancer tumor rupture, hemorrhage, secondary infection, anemia, cancer of the intestine cancer and intestinal infarction colic.

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Xiaoya 35-year-old three years ago has just done a mother, early last year because of improper contraception and pregnancy. Finish abortion, xiaoya did not feel that their physical Breckenridge. But this summer she saw his terrible physical changes: the original sleek hair limbs suddenly developed, and even the lips of sorts-a lot to live in.. "I do not know that abortion is not the reason?" Xiaoya hearts quietly committed abroad, and has since skirts and Farewell.
Suddenly developed sweat glands finally explained. It is the company's first comprehensive medical examination, an experienced doctor told xiaoya old, she won "
Polycystic ovarian cyst, "High blood levels of the male hormone is her hair suddenly developed reasons. Always consider themselves very healthy xiaoya disease struck suddenly feel the fear.

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Many female menstrual disorder is often encountered problems, including extending or shortening cycle, increased amount of bleeding, these belong to dysfunctional bleeding, referred to as DUB.

Women of childbearing age are generally more because luteal function well, resulting in menstrual disorders, which means although cycle, but the cycle will shorten, or more menstrual bleeding. Some 20 days to the first menstruation, it is because luteal function well. Similarly some may last 30 days, but rather a long time hemorrhage, which is bad because luteal function caused. While these cases more, but the problem is not very serious and <BR>, relatively speaking, not a great amount of bleeding.

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Epithelial ovarian cancer in the United States is a relatively rare in Gynecologic Oncology, 2004, there were approximately 25,580 cases of new onset patients, 16,090 cases patients died. The majority of patients with advanced cancer, treatment for surgical resection and postoperative to platinum-based chemotherapy. During the past 10 years, chemotherapy improved survival rates improve, and recurrent tumor treatment more effective. In addition, the genetic risk factors for making in-depth understanding of the prevention strategy to become individualized approach to bilateral tubal women - ovarian surgery. This report summarized the clinical characteristics of epithelial ovarian, after reports focus on the treatment of the latest developments.

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I. Overview

With the aging of the global trend of development, improve the economic status of women, more and more women start hormone replacement therapy (Hormone Replacement Therapy, HRT), to improve access to after menopause due to the decrease in the level of sex hormones related to various diseases. Clear evidence that: postmenopausal women with age, the incidence of coronary heart disease increased by about four times the fracture due to osteoporosis by 20%, died of complications due to pelvic fracture rate of 30%, after the 65-year-old Alzheimer's incidence rate increase every year <BR> and Application HRT can peer groups coronary heart disease risk 50% Alzheimer's risk reduced three times, especially worth mentioning is significantly reduced the incidence of rectal cancer. Long-term use of HRT cancer risk reduced year by year. HRT can also greatly improve the menopause, postmenopausal women with disease or ovarian surgery, radiotherapy in patients with a series of artificial menopause syndrome.

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[Summary]

Ovarian cancer is a common cancer of female genital mutilation one of the incidence of cervical cancer and after cancer of the uterus, which ranked third. But ovarian cancer death, accounts of the first gynecologic tumors, right pose a serious threat to women's lives. Because ovarian embryonic development, organization anatomy and endocrine function more complicated, it may be suffering from benign tumors or malignant. Because of early ovarian cancer in asymptomatic, and the identification of its type benign and malignant very difficult, ovarian carcinoma laparotomy in ovarian tumor confined to only 30%, most have spread to the uterus, bilateral annex, the omentum and pelvic organs, both in the diagnosis of ovarian cancer and governance the treatment is a major problem indeed. Over the years experts on the pathological form of ovarian cancer, the development of clinical and treatment programs for many of accumulated a lot of experience, so far, statistics on domestic and foreign clinical data, the five-year survival rate of only 25% to 30%.

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Kikuchi, the Japanese report, have received platinum multidrug chemotherapy for recurrent ovarian cancer Japanese women, a weekly carboplatin and paclitaxel chemotherapy in a meeting, can significantly prolong survival, and patients can be tolerated. (Int J Cancer YORK 2005,15:45)

The case control study included surgery and platinum-based adjuvant chemotherapy complete remission for at least 6 months after the recurrence of ovarian cancer patients. Of the 68 patients, 27 patients received a weekly meeting of Taxol and carboplatin chemotherapy (WTJ) (Group I), carboplatin (AUC area under the curve for 2) plus paclitaxel (80 mg/m2); The remaining 41 patients (Group II) to platinum-based (P ) other chemotherapy, 37 patients with CAP program, a monthly meeting of carboplatin and paclitaxel program four cases.

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Ovarian cancer _
(1) due to early diagnosis of ovarian cancer early without typical symptoms and signs, they asked in detail about history and serious medical and gynecological examinations are extremely important. Suspicious circumstances of the event should help of modern imaging examination and generalized tumor marker of early detection screening. The so-called suspicious circumstances may be more long ovarian dysfunction, long unexplained gastrointestinal or urinary tract symptoms, or young girls increased postmenopausal ovarian hit ovarian, and the original suspected ovarian tumor rapidly increasing fixed, stiffen, and so on.

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Surgery

According to a medical examination and transvaginal ultrasound findings suspected ovarian cancer is often a laparotomy to be confirmed histology, and tumor stage and tumor debulking surgery. Histological need to be certified to remove ovarian cysts Mixed other causes, including non - epithelial ovarian cancer (such as interstitial or germ cell tumors), other primary site of tumor metastasis to the ovary (such as the adhesion of), or benign lesions, such as endometriosis. The adhesion is usually of signet ring cell tumor, representatives from primary adenocarcinoma of the stomach metastatic ovarian cancer. However, other parts of the original cancer, such as colon, appendix, the gallbladder and breast (special lobular invasive carcinoma) will also transfer to ovarian. At laparotomy surgery during the stage, right after the decision-making guidance provided important information, especially for patients with early (discussed below). Finally, the tumor debulking surgery (initial cytoreductive surgery) is the first of an important part of the operation because of residual tumor with a diameter of less than 1 cm larger than the residual tumor with a high survival rate.

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(1) of epithelial ovarian tumors
Most of age 30 to 60 years old. Divided into benign and malignant junction. The latter by the former number two to surface evolution. Borderline ovarian cancer tumor of 10 ~ 20%, a low-grade malignant potential, clinical course and prognosis between benign and malignant this; The biology of the slow growth, low rate of metastasis and recurrence later.

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