Merdeka.com – When a person has become a survivor of ovarian cancer, there are a number of things to watch out for, including the recurrence of the disease. Chairman of the Indonesian Oncology and Gynecology Association (HOGI), Dr. dr. Brahmin Askandar, SpOG(K)-Onk, said recurrence is the main enemy and challenge faced by ovarian cancer patients after the treatment period.
“The main enemy of ovarian cancer is recurrence, because most of it is detected not at an early stage,” he explained some time ago as reported by Antara.
Doctors who are consultants for gynecology oncology at the Faculty of Medicine, Universitas Airlangga (FK UNAIR), Dr Seotomo Hospital and UNAIR Hospital Surabaya It said, in those with cancer at an advanced stage, the recurrence rate reached 80 percent despite treatment.
Treatment of relapse will differ between patients. Some need to undergo chemotherapy, surgery before chemotherapy or even targeted therapy.
“If there is a relapse, it varies per person. Some are given chemotherapy, some are operated on before chemotherapy, some are undergoing targeted therapy. The doctor will determine with the team,” said Brahmin.
This condition makes ovarian cancer patients who have completed treatment need to continue to be monitored. At a minimum, they need to have regular check-ups with the doctor every three months to detect any complaints, new lumps and so on.
“Ovarian cancer needs to be monitored continuously. It can’t be done after surgery and chemotherapy. At least he has to have regular check-ups every 3 months to see if there are complaints, the appearance of new lumps and others,” he said.
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The Importance of Early Examination
At the time of control, a number of tests such as CT-scan, MRI and others need to be done to confirm a recurrence or not.
Brahmana said, ovarian cancer is divided from stages 1 to four and unfortunately most are only diagnosed at advanced stages, namely 3 and 4. This is because the change from normal to cancer does not go through the stages as clear as cervical cancer.
“Any sophisticated examination only states that it is normal, but early detection such as lumps is rare. This is because people do not experience any complaints. Menstruation is normal, the ovaries can still produce,” he said.
Patients generally only come when the stomach is enlarged, bloated, tight because there is fluid in the lungs, bowel obstruction, lower abdominal or pelvic pain, urination disorders and decreased appetite.
“At least we need to educate the public about these four symptoms, immediately check with the obstetrician or general practitioner first,” suggested the Brahmin.
In addition to symptoms to watch out for, there are a number of risk factors for ovarian cancer, namely increasing age of women, low birth rates or people who have never been pregnant, family history of ovarian cancer, bad lifestyles such as lack of exercise leading to obesity, history of endometriosis, namely the formation of menstrual blood tissue in the body. outside the womb and genetic mutations. [RWP]
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