While examining a 58-year-old female patient (G2P2) in your clinic complaining of abdominal enlargement and bloating, abdominal examinations revealed shifting dullness, pelvic exam reveals diffuse masses. What indication will immediately come into your mind? Ovarian cancer? This article will brief on what will help you to confirm the diagnosis of an ovarian carcinoma, starting from history to work up and management of the condition.

Ovarian cancer is the sixth most common cancer (age-standardized incidence rate: 6.6/100,000) and the seventh leading cause of cancer deaths (age-standardized mortality rate: 4.0/100,000) among women worldwide. In India, ovarian cancer is the third leading site of cancer among women, after cervix and breast cancer. The age-adjusted incidence rates of ovarian cancer vary between 5.4 and 8.0 per 100,000 population in different parts of the country. Ovarian…