Know More About Ovarian Cancer

Good morning everyone, my name is Dr Ninad Katdare I am a cancer surgeon and I specialise in gastrointestinal cancers and gynaec cancer and something called as peritonial cancers. So today I will be telling you about ovarian cancer so basically I am a surgical oncologist I work at 5 different hospitals in Mumbai first is Global Hospital second is Raheja hospital at Mahim third is H.N. Reliance hospital at Charni Road and BSES MG hospital in Andheri and SCG hospital at Borivali. So let's start our lecture on ovarian cancer, basic early ovarian cancer is one of the most common cancers in women and you must know about it and it is the most deadliest of the cancers the maximum number of women would die from gynaecological cancer are due to ovarian cancer. So I will speak mainly on the various aspects the staging and the treatment protocols, so to begin with ovarian cancer can be in four stages. There are stages by something called as the Figo staging which you will see in next slide. So the Figo Staging stages the cancer according to where it is localised to the ovary or whether it has spread to the pelvis or out side of the pelvis into the rest of the abdomen and the last stage 4 stage is when it spread beyond the abdomen. So in the first three stages you can potentially cure the patient. So there are very vague signs and symptoms to ovarian cancer they can be persistent distinction of abdomen, wake pain in the abdomen, constipation for a pro long duration of time, vague, aches and pain in the abdomen. So if you have any of this problem you should get it evaluated by a gynecologist or surgical oncologist. The first most commonest test which we do is a tumor marker called as CA 125 and sonography of the abdomen if there are any suspicious finding then the second investigation which is commonly done whether it is CT scan or an MRI. So based on these two test and on the clinical examination you are able to stage the disease, if there are some doubtful findings where the ovarian masses can be secondary to cancer in other organs of the body like the stomach or a colorectal cancer then the endoscopy of the stomach or the colonoscopy of the colon will required. So once the diagnosis of ovarian cancers confirmed for stage 1 stage 2 and stage 3 the first step is always surgery, contrary to the routine treatment protocol which are done in India especially for stage 3, we always prefer a surgery this surgery is called as cytoreduction. Basically, even if there is water in the abdomen which is called as ascitis, but if the diseases is of table which is evaluated by the MRI and by the laparoscopy. So even in statge 3, the chemotherapy should not be given first because if you do the surgery first and we are able to remove all the disease the survival of the patient is much higher. Though cytoreduction is a not possible in each and every patient but in selected patients if you can remove the whole disease the survival live in the stage 3 ovarian cancer is almost more than 50%. So basically what we do in the cytoreduction, is we open the entire of abdomen and remove all the diseases not only the ovaries we remove the uterus and also something called as a omentum we remove the appendix and if required we remove the inner lining of the abdomen called as peritonium and any other diseases which is present in whole the abdominal cavity is removed through very supra major surgery called as cytoreduction which may last for anywhere between 6 to 10 hours. But if you are able to remove each and every part of the disease visible to the naked eye then the cure its even a stage 3 ovarian cancer are very high and once the surgery is done and the patient recovers from that you can give chemotherapy. Even in stage 4 cancer we have new technologies available where in we can try for a cure, this therapy is called as a Hipec therapy. What is Hipec stands for, it stands for Heated Intraperitoneal Chemotherapy. In this basically the cytoreduction which I mentioned previously is done and once the procedure is over you have to use this technology and circulate the heated chemotherapy in the abdominal cavity and once this is circulated for anywhere between 60 to 90 minutes and then the abdominal cavity is washed and close like in a normal surgery. So with this Hypec and one more new technology called as Pipec, you can even get better cure its in stage 3 and in somewhere cases of stage 4 cancer. So these technologies are all done by me in various hospitals where ever. So this is how even with the advanced ovarian cancers nowadays we can get good success rates, thank you. If you want any more information you can contact me through lybrate.com.