Gynaecological cancers

Ovarian cancer-NICE recommends an urgent ( ie USC to be seen within 2 weeks ) referral if physical examination reveals ascites and / or a pelvic / abdominal masswhich is not obviously uterine fibroid

NICE recommends testing in primary care for ovarian cancer if a woman ( particularly over 50 ) reports having any of the following symptoms on a persistent or frequent basis - particularly more than 12 times/ month-persistent abdominal distension ( women often refer to this as bloating ) feeling full ( early satiety ) and / or loss of appetite pelvic or abdominal pain increased urinary frequency and / or urgency

Unexplained weight loss fatigue changes in bowel habit-Women 50 or over who has experienced symptoms within last 12 months that suggest irritable bowel syndrome ( IBS rarely presents for the first time in women of this age )-check Ca 125.CA 125 normal or ( ie less than 35 IU/ml ) or CA 125 of 35 IU/ml or greater but normal ultrasound.Assess carefully for other clinical causes of her symptoms and investigate if appropriate If no other clinical cause is apparent , advise to return if her symptoms become ↑ frequent and / or persistent

Endometrial...