Fraser, LSM;
Lanceley, A;
(2016)
Tackling the psychological impact of ovarian cancer.
Nursing in Practice
, 93
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Abstract
Ovarian cancer is the sixth most common cancer in women in the UK and the most lethal of gynaecological cancers. The only proven method of prevention is removal of the ovaries and fallopian tubes before cancer develops. This strategy is not recommended for the general population, but is available for women who are known to be at increased risk because of a genetic predisposition. Ovarian cancer screening with the aim of reducing mortality through early detection is not available on the NHS, due to the lack of a convincing evidence base. The generic term ‘ovarian cancer’ encompasses a group of cancers that includes the ovaries, along with primary cancers of the fallopian tube and peritoneum. It is not a single disease entity but different diseases with different risk factors, precursor lesions, patterns of spread, response to chemotherapy and prognosis. Most patients (80%) present with aggressive high-grade serous carcinoma at an advanced stage and overall five-year survival is less than 35%. This poor outcome reflects the high risk of recurrence after initial treatment. The psychological impact of this disease can be profound.
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