It will depend on the results obtained, especially in cases of malignant tumors. Ovarian cancer, one of the worst prognosis, evolve in a certain way depending on the stage where it is detected.
Dr. Jose Angel Arranz, head of the unit of urological and gynecological tumors and section chief of oncology at Hospital Gregorio Marañón in Madrid, we expose in detail the various aspects related to ovarian cancer. Risk factors for developing ovarian cancer different factors are known to influence the development of ovarian cancer.

The genetic factor may be key. Some genetic disorders can cause mutation and make us more willing to suffer this type of tumor. It is therefore very important to know the family history and make a very close medical supervision. Anyway, this risk only occurs in 10% of cases. Elsewhere, the occurrence of ovarian cancer is accidental and has no factor directly related, although the use of contraceptives ovarian or obesity can exert a minimal influence. Can we prevent ovarian cancer? The truth is that there is a specific way to prevent ovarian cancer. Thus it is necessary to sensitize the female population from age 40, or the onset of menopause, undergo vaginal controls the periodicity recommended by the gynecologist. This is the way to detect abnormal cells and reach the most time possible to treat the tumor.

Which protocol to follow when diagnosing an ovarian cancer diagnosis in any ovarian cancer treatment goes to undergo surgery. This is a radical treatment which removes the uterus and ovaries, the authors reviewed the entire abdominal cavity through a biopsy and review the suspicious areas of the body. In early stages of Level 1 and 2, surgery is almost guaranteed cure, although in some cases are necessary round of chemotherapy. After surgery, the tumor can recur? The answer is yes. Relapses were defined according to the cycle that runs from the last session of chemotherapy. If the cancer comes back before 6 months is considered early, whereas if the time is superior, we are talking about a late relapse. In cases of recurrent tumors there are many treatment options.

You can choose to rescue medication or surgical standard. When we refer to late tumors, the combination of drugs is more effective than monotherapy. In fact, with treatments based on these combinations, survival rates have increased. Are emerging studies that show benefits of new drugs being developed. In the past 5 years have seen some medications that have demonstrated improvements in patients. Yondelis, the latest in Yondelis drug is a drug recently approved by the Medicines Agency which is a real novelty. Its effectiveness has been made compared to previously used drugs, and the results support the data that certify a progression-free survival of patients Polycystic Ovary, “higher-risk patients? The polycystic ovary is a benign disease that usually must not end in ovarian cancer. What it is true is that in some cases the cysts may be an ovarian tumor. This occurs in patients whose cysts have above measures 6cm (usually the size is 2 or 3 cm), had blood forming papillae. In these cases the cysts should be monitored closely and even remove them if necessary.

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This is because ovarian cancer is difficult to diagnose and often goes unnoticed for most physicians who are not oncologists.

Ovarian cancer can not be detected on physical examination during routine gynecologic consultation, as it grows up into the abdominal cavity. On the other hand, does not cause pain or other symptoms prior to suspect the disease when the tumor is small, there is no tumor marker for diagnosis.

Currently there are techniques such as CT image diagnosis, MRI, or PET, with which early diagnosis could be made, but very expensive.

However, countries like Britain, are conducting studies that seek to detect early ovarian cancer by ultrasound and tumor markers in blood are analyzed.

Ovarian cancer affects mainly women between 45 and 75 years of age but can also affect younger women. Generally, in the early stages of the disease, tumor location is in a single ovary and the likelihood of cure is higher (90%).

Factors that predispose to ovarian cancer are not well defined. It is believed that heredity, or that there is a relationship between the number of pregnancies and the probability of suffering (the higher number of pregnancies, less likely to suffer). Similarly, contrary to what people think, those taking oral contraceptives are less likely to suffer from the disease.

In young women the presence of cysts may be normal and not more important, however menopausal women between 50 and 55 years of age, should follow up on these cysts, they may lead to ovarian cancer.

In advanced stages of the disease, is resorted to surgery that is often long and complicated, and then follows with a chemotherapy treatment.

Approximately 50% of cases are cured, but the other 50% of patients believed to have exceeded the cancer, or fall back to file a recurrence of the disease.

It has been observed that the more time passes since the end of treatment, the possibility that the disease recurs, the smaller but is never zero.

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According to a study published in the weekly Journal of the American Medical Association, women who use hormone replacement therapy (HRT) increase vulnerability for exposure to breast cancer but are also increase the possibility of becoming a victim of cancer ovaries. And even if the treatment is less than a term of four years.

HRT previously associated with an increased risk of breast cancer

In 2002 a major study devoted to the health of women was prematurely halted when researchers found that HRT increased the risk of exposure of patients with breast cancer. The increased risk was in effect that such experiences were no longer morally acceptable. Therefore, HRT has fallen out of favor in the fight against the symptoms of menopause, and a relationship of cause and effect, the number of cancers has also decreased in corresponding proportions.

Studies conducted at the time, however, have also shown that the long-term use of HRT may put women at greater risk of ovarian cancer, assuming that these risks do not fire, subsequent to a long-term use.

44% more risk of developing epithelial ovarian cancer

In the current study, researchers examined between 1995 and 2005, the medical records of 909,946 Danish women aged 50 to 79 years. The findings are clear: women on HRT are at 38% more likely to develop ovarian cancer than women who never used HRT. The risk of developing epithelial ovarian cancer, the most common form of this cancer, even 44% higher. This is not all researchers announced that HRT has been directly responsible for a case of ovarian cancer over twenty during the period were performed studies. These figures are obviously of concern to the 8300 Danish women currently on HRT.

The current report did not affect the recommendations around the HRT, but Debbie Saslow, the American Cancer Society, which is not involved in the study, recommended for its part, the greatest caution, “the women who are forced to resort to HRT should be limited to the lowest dose possible and treatment duration as short as possible. In all cases it is preferable not to appeal to HRT.

The impact was immediate. Many women trying to avoid the symptoms of menopause and frightened by the HRT are now turning to products with “bio-identical hormones” ingredients from herbal to the detriment of animal hormones. Debbie Saslow, however, also warns against those products where proof of safety has not been reported to date “and does not guarantee greater safety compared to conventional HRT.

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