(A) The early symptoms of ovarian cancer
As the ovaries deep in the pelvis, the incidence may be no early or mild symptoms can be manifested in:
Abdominal distension, back pain, pain or discomfort, abdominal circumference increased, constipation, fatigue, urinary frequency or urgency, could not eat normally, unexplained weight loss.
Because ovarian cancer is relatively rare, the main complaint of patients with abdominal distension and constipation may not be a lot of primary care physicians think of ovarian cancer. Experts advise that if women had this group of symptoms, physicians should think about the possibility of ovarian cancer, and further to do so on ultrasound or CT examination. Women should also understand their own body, if these symptoms should go to hospital to help doctors determine the cause.
(B) The late symptoms of ovarian cancer
Ovarian cancer grows rapidly and easily spread. But in the early patients often asymptomatic or have mild symptoms, often accidentally discovered during gynecological examination, or until tumor growth to a certain size beyond the pelvis outside the abdomen may be palpable in time, or when complications are found, until the time of medical treatment are often already advanced. The symptoms of ovarian cancer may be due to tumor size, time of occurrence, with or without complications are different. Common symptoms include:
(1) An initial occasional lower abdominal discomfort or pain in the side of the lower abdomen, there is a sense of falling.
(2) a sense of abdominal swelling, due to the rapid tumor growth in the short term may have abdominal distension, abdominal mass and ascites. Only a small tumor in pelvic examination can be found when the mass gradually grew beyond the pelvis, abdominal mass can be touched.
(3) compression symptoms: When the tumor to the surrounding tissue infiltration or nerve, it can cause abdominal pain, back pain or sciatica, if the oppression of pelvic veins, lower extremity edema can occur; a huge bladder tumors can be oppressive, there are frequent urination, urination difficulty, urinary retention; oppression of the rectum is difficult stool; oppression of the gastrointestinal tract have gastrointestinal symptoms; oppression of diaphragmatic breathing difficulties may occur and can not lie horizontally.
(4) Due to the rapid tumor growth, suffering from malnutrition and physical wasting, forming cachexia.
(5) due to a corresponding transfer of cancer symptoms, ovarian cancer seldom causes pain, such as a tumor rupture, bleeding or infection or due to infiltration of adjacent organs of oppression can cause abdominal pain, low back pain.
(6), there may be menstrual disorders, vaginal bleeding. Bilateral ovarian cancer if it were damaged, can cause menstrual disorders and amenorrhea, lung metastasis, there may be cough, hemoptysis, pleural effusion; bone metastases can cause localized Juteng metastases. Intestinal metastasis may have blood in the stool, can cause a serious intestinal obstruction.
(7) In addition, if the functional tumor, can produce the corresponding estrogen or androgen excess symptoms. Such as: dysfunctional uterine bleeding caused by an early, postmenopausal vaginal bleeding or signs appear masculine. Terminally ill is manifested in apparent weight loss, severe anemia and other phenomena of cachexia. Gynecological examination may be scattered in the posterior fornix touches the hard nodules, lumps, mostly bilateral, materiality, surface uneven, fixed and often accompanied by bloody ascites. Sometimes in the groin, armpit or collarbone swollen lymph nodes can be touched.
2009年9月8日星期二
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