A 62-year-old woman presents to the GP with a 4-week history of non-specific abdominal pain and weight loss. She has a vague abdominal mass on examina...

Question

A 62-year-old woman presents to the GP with a 4-week history of non-specific abdominal pain and weight loss. She has a vague abdominal mass on examination. She has previously had endometrial cancer treated with hysterectomy 5 years ago. Her CA-125 is 120 U/mL. Which is the single most appropriate action?

Accepted Answer

Refer urgently on a suspected cancer pathway for investigation of possible recurrence or new primary

Answer

Reassure as CA-125 can be elevated for many reasons

Answer

Repeat CA-125 in 3 months

Answer

Arrange an abdominal X-ray

Answer

Prescribe laxatives for constipation

uk-drcog MCQ (SBA): Suspected Gynaecological Cancer Recurrence