8/2/2023 0 Comments X ray 1.3.5 1.12.2![]() ![]() 1.5.9.įor any woman who has normal serum CA125 (less than 35 IU/ml), or CA125 of 35 IU/ml or greater but a normal ultrasound:ġ.14. If the ultrasound suggests ovarian cancer, make an urgent referral to a gynaecological cancer service. If serum CA125 is 35 IU/ml or greater, arrange an ultrasound scan of the abdomen and pelvis. Measure serum CA125 in primary care in women with symptoms that suggest ovarian cancer (see recommendations 1.5.1 to 1.5.5). (See NICE’s guideline on irritable bowel syndrome in adults). ![]() 1.5.5.Ĭarry out appropriate tests for ovarian cancer (see recommendations 1.5.6 to 1.5.9) in any woman aged 50 or over who has experienced symptoms within the last 12 months that suggest irritable bowel syndrome (IBS), because IBS rarely presents for the first time in women of this age. 1.5.4.Īdvise any woman who is not suspected of having ovarian cancer to return to her GP if her symptoms become more frequent and/or persistent. Ĭonsider carrying out tests in primary care (see recommendations 1.5.6 to 1.5.9) if a woman reports unexplained weight loss, fatigue or changes in bowel habit. Increased urinary urgency and/or frequency.
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