A 45-year-old woman presents to the GP with a 6-week history of persistent abdominal distension. She has early satiety and has noticed her clothes are...

Question

A 45-year-old woman presents to the GP with a 6-week history of persistent abdominal distension. She has early satiety and has noticed her clothes are tighter. She has no family history of ovarian cancer. According to NICE NG12, which symptom constellation should prompt investigation for ovarian cancer?

Accepted Answer

Persistent bloating (not intermittent), early satiety, pelvic or abdominal pain, and/or increased urinary urgency or frequency - particularly if occurring ≥12 times per month

Answer

Only postmenopausal vaginal bleeding

Answer

Irregular menstrual bleeding only

Answer

Weight loss of >10% in 3 months

Answer

Pelvic pain only if associated with a palpable mass

uk-drcog MCQ (SBA): Ovarian Cancer Symptom Recognition