CLINICAL FEATURES OFOVARIANTUMOURSPressureSymptomsTheseincreasedcommonlyaremicturition, gastro-offrequencyand adullintestinalsymptomspain in the lower abdomen. Very largetumorsmaycauserespiratoryembarrassment and edema or varicositiesinthelegs,andcharacteristicaovarian cachexia'develops,due perhapsto interference with alimentary function.2003-10-27Ovarian Cancer11
2003-10-27 Ovarian Cancer 11 Pressure Symptoms These are commonly increased frequency of micturition, gastrointestinal symptoms and a dull pain in the lower abdomen. Very large tumors may cause respiratory embarrassment and edema or varicosities in the legs, and a characteristic ‘ ovarian cachexia’ develops, due perhaps to interference with alimentary function. CLINICAL FEATURES OF OVARIAN TUMOURS
CLINICALFEATURESOFOVARIANTUMOURSSmall tumours remain in the pelvisand will only be detected on bimanualexamination orby ultrasound.Largertumours fill thepelvisandusuallyliebetweentheuterusand sacrum.Ifthepatientisnottooobesetheuteruscanbedistinguished onpalpationas separatefrom the tumour.A tumour occupying the abdomen causes a midline swelling and is usually tense.2003-10-27OvarianCancer
2003-10-27 Ovarian Cancer 12 CLINICAL FEATURES OF OVARIAN TUMOURS
CLINICALFEATURESOFOVARIANTUMOURS11111Little can be done at this stage to classify the tumour or exclude malignancy; but very largetumours are likely to be benign; a primarily malignant tumour would have killed the patientbefore reaching such a size.2003-10-27Ovarian Cancer
2003-10-27 Ovarian Cancer 13 CLINICAL FEATURES OF OVARIAN TUMOURS
CLINICALFEATURESOEOVARIANTUMOURSIf the patient is vervthin, irregularitiesmavbepalpatedand sometimes twotumours may be suspectedSometumoursofmoderatesizehave a long pedicle composed oftheattenuatedbroadligamentandfallopian tube,whichallows thetumourtobedisplaced fromsideto side, or to occupyahighabdominal position.2003-10-27OvarianCancer
2003-10-27 Ovarian Cancer 14 CLINICAL FEATURES OF OVARIAN TUMOURS
CLINICALFEATURESOFOVARIANTUMOURSOmentaladhesionsCystThe upper pole can usually bedistinguished and the lower polecan be paipated per vaginam.Adhesions, inflammation anddisplacement ofpelvic organs mayallexist alongwithatumourandconfuse the examiner.2003-10-2715OvarianCancer
2003-10-27 Ovarian Cancer 15 CLINICAL FEATURES OF OVARIAN TUMOURS