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The table presents key recommendations from NICE (National Institute for Health and Care Excellence) regarding the management of ovarian cancer and related symptoms. These guidelines, part of the Urgent Suspected Cancer (USC) pathway, provide clear actions for healthcare professionals to follow when assessing and addressing potential cases of ovarian cancer. Please also refer our chart on ovarian cancer for a better understanding of this subject.
| Recommendation | Actions |
|---|---|
| Make an urgent referral to a gynaecological cancer service if a physical examination identifies ascites and/or a pelvic or abdominal mass (which is not obviously uterine fibroids). | - Refer urgently to gynaecological services. |
| Carry out tests in primary care if a woman (especially if aged 50 or over) reports having any of the following symptoms on a persistent or frequent basis – particularly more than 12 times per 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 urgency and/or frequency. | - Perform primary care tests as indicated ie measure CA125 and act per findings |
| Consider carrying out tests in primary care if a woman reports unexplained weight loss, fatigue, or changes in bowel habits. | - Assess... |
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