A.C.
Edit note: Other Mamasource readers need to share their opinions and perspectives on this.
Edit note #2: Re: Ca-125 testing: A physician friend had a patient who had a negative Ca-125 last January and was diagnosed with advanced ovarian cancer in March.
Edit note #3: Also, we don't want to forget the even rarer cancer of the fallopian tubes.
Dear S.,
Congratulations and thank God for your 18 year survival!!!
You have asked some excellent questions.
I understand your concerns regarding the disproportion of "awareness" between breast and ovarian cancer.
Yes, it's very true. Ovarian cancer has a much lower 5 year survival rate than most breast cancers. What's worse, as you and your husband pointed out, is that usually by the time it begins to show symptoms - or the patient and the doctors recognize the symptoms, it has spread and advanced to dangerous stages. With it's lower survival rate, it is unlikely that the woman will be sick as long.
However, nowadays, woman are definitely beating ovarian cancer more and more each day!!!!
OVARIAN CANCER SYMPTOMS -
MayoClinic.com
http://www.mayoclinic.com/health/ovarian-cancer/DS00293/D...
(or "Google" Ovarian cancer and find other sites)
"Symptoms of ovarian cancer are nonspecific and mimic those of many other more common conditions, including digestive and bladder disorders. A woman with ovarian cancer may be diagnosed with another condition before finally learning she has cancer.
Common misdiagnoses include irritable bowel syndrome, stress and depression. The key seems to be persistent or worsening signs and symptoms. With most digestive disorders, symptoms tend to come and go, or they occur in certain situations or after eating certain foods. With ovarian cancer, there's typically little fluctuation — symptoms are constant and gradually worsen.
Recent studies have shown that women with ovarian cancer are more likely than are other women to consistently experience the following symptoms:
Abdominal pressure, fullness, swelling or bloating
Urinary urgency
Pelvic discomfort or pain
Additional signs and symptoms that women with ovarian cancer may experience include:
Persistent indigestion, gas or nausea
Unexplained changes in bowel habits, such as constipation
Changes in bladder habits, including a frequent need to urinate
Loss of appetite or quickly feeling full
Increased abdominal girth or clothes fitting tighter around your waist
Pain during intercourse (dyspareunia)
A persistent lack of energy
Low back pain
Changes in menstruation"
Breast cancer, on the other hand, is more common and is more easily found in it's early stages. Woman can check themselves for breast lumps, changes, and skin lesions and are encouraged to get annual mammograms. They will frequently know if breast cancer has been in their family.
The survival rate for breast cancer has lengthened substantially, not just because of public awareness and public testing, but with it's early diagnosis, treatment, the variety and probable disfigurement of the surgeries, and the increasing survival rate, more of the family, friends, and neighbors are likely to be aware of what the patient is or has been going through.
More of the public "knows or has known" someone with breast cancer.
They may not realize that they "know or have known" someone with ovarian cancer.
A professor I knew succumbed to breast cancer 2 months ago. She was very strongly opposed to what she regarded as the "commercialism" of breast cancer awareness. She objected to "all of Best Buy's employees wearing pink shirts for breast cancer", for instance, saying that it was for Best Buy, not for breast cancer.
By the same token, I believe this helps breast cancer survivors know that they are not alone.
And, last but not least: Cervical cancer, like breast cancer, also has the ability to be detected early - with PAP tests if the public gets them done early! In addition, researchers have discovered a direct link between the virus that causes venereal warts and many cervical cancers. Following that, they have come up with a vaccine that has been put out on the market in the past couple of years. So, once again, there is the need for public awareness and simple tests in addition to prevention being available!
As I understand it, the CA-125 test only provides relevant information if the cause of the results are already known although this is still controversial.
Thank you for bringing up the whole issue.
Good luck!