Recurrent ovarian cancer
Cancer lesions of the female reproductive system are extremely common. In each case, the patient is offered immediate help, which allows to cause remission of the tumor. After such therapeutic intervention, the period of women's relative health develops. Fears and sufferings are gradually forgotten, but the cancer is only asleep. At the most inopportune moment, even after radical treatment, it is possiblerecurrence of ovarian cancer.
Why does the disease come back?
Relapse is the appearance of the progression of a cancerous tumor after a period of remission. It occurs against a background of complete somatic well-being, when a woman recovered after a severe treatment of the underlying tumor. In most cases, even with the third stage of ovarian cancer, radical treatment is carried out. Its essence lies in the complete removal of the ovary with a number of located tissues followed by chemotherapy.
Since the ovary is no longer there, the main danger is that the tumor cells progress in other organs. This process is metastatic, it develops due to the spread of cancer particles to the blood. In this situation, most often from relapse suffer:
- pelvic bones and spine.
With unqualified removal of the formation of metastases can develop in the lymph nodes, epiploon and the wall of the bowel, immediately adjacent to the site of the former location of cancer.
In what cases can a recurrence of ovarian cancer occur?
The main reason for the formation of a secondary tumor is the remaining undetected areas of cancer in the tissues of the tissues adjacent to the ovary. After radical therapy, they are in a dormant state, but under adverse conditions and provoking factors, tumor cells spread throughout the body. After this, there is a recurrence of ovarian cancer - a direct increase in neoplasms in other organs.
The provoking factors leading to the progression of cancer are numerous. Below are listed the most common of them:
- heavy physical effort;
- abdominal trauma;
- viral infections;
- stagnant processes in the small pelvis, associated with either chronic diseases of the body, or with infection of the genitourinary system.
Sometimes there are situations when the resumption of oncology develops without an obvious provoking factor.
The first signs of relapse
The very moment when the secondary tumor began to grow passes unnoticed. The earliest symptoms are not typical at first. The first warning sign may be unmotivated growing weakness or decline in efficiency. There are no external manifestations yet, and it becomes unbearable to engage in the usual activities. However, women do not pay attention to this symptom, continuing to prevail fatigue. Later, a tumor grows, the basis of which is ovarian cancer, the relapse manifests itself with numerous signs.
The main symptoms of relapse are as follows:
- pallor of the skin;
- severe weakness;
- difficulty urinating;
- icteric sclera;
- pain in the right hypochondrium;
- an increase in the abdomen due to the accumulation of ascitic fluid in it.
Manifestations may depend on the location of secondary formations. If they occur in the lungs, then there is a cough, shortness of breath and hemoptysis. With the defeat of bones, the main symptom is the strongest pain.
Necessary analyzes and examinations
Even in the presence of obvious external manifestations of the tumor, it is necessary to confirm the disease by instrumental methods. This excludes the possibility of a diagnostic error affecting human life. The main measures for verifying secondary cancer include:
- standard tests of urine and blood;
- determination of the level of oncomarker (CA-125);
- tomography with contrast by means of magnetic resonance;
- X-rays of light;
- tomography of bones.
In the presence of morphological confirmation, that is, when cancer cells are found, the relapse is considered proven. The presence of multiple secondary neoplasms in any bones or organs, also indicates a high degree of return of the neoplasm.
How to treat the disease?
There are two ways of treating recurrent ovarian cancer - surgical and conservative. Operative intervention is possible when forming a solid tumor in the walls of the intestine. Sometimes you can remove single metastases from the liver. Surgery is rarely used, since relapse is characterized by high malignancy and multiple lesions.
In most cases, symptomatic therapy is performed. Such assistance includes:
- palliative irradiation to slow the growth of the secondary tumor;
- chemotherapy in the presence of sensitivity to her cancer;
- detoxification - parenteral administration of plasma-substituting solutions;
- relief of suffering through the use of analgesics and diuretics.
In the presence of severe pain, prescription analgesics are used.
Prognosis and prevention
The recurrent ovarian cancer recurrence is prognostically unfavorable. Life expectancy depends on the woman's resistance. The two-year survival rate after reliable verification of secondary manifestations of the neoplasm ranges from 2 to 3%. The lethal outcome usually occurs in the first 6 to 12 months.
To avoid a relapse, you must follow certain rules. These include:
- completely stop heavy physical activity;
- Try to avoid accumulation of people to minimize infection with a viral infection;
- to establish a regular sex life;
- drink more fluids;
- normalize the hormonal background with the help of substitution therapy with tablets;
- Prophylactic ultrasound examination of the abdominal cavity every 6 months.
If you have any symptoms that are suspicious of relapse, contact a specialist immediately! Early diagnosis will prolong life!
Thus, the secondary manifestations of ovarian cancer are always dangerous and poorly treatable. They can arise quite unexpectedly, against the backdrop of apparent prosperity. To avoid relapse, you need to adjust the lifestyle, as well as very carefully monitor the hormonal changes in the body. Regular observation by a specialist will prolong life!.