Persistent ovarian cancer symptoms — DRCOG MCQ

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HardGynaecological OncologyPersistent ovarian cancer symptomsDRCOG

A 72-year-old woman is 62 with recurrent bloating and urinary frequency despite normal initial examination. When should this patient be referred?

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Correct answer: D — Refer for further assessment if CA125 or ultrasound is abnormal

Refer for further assessment if CA125 or ultrasound is abnormal is the best answer because the vignette is testing Persistent ovarian cancer symptoms and the recommended approach is consistent with NICE NG12. The other referral timings are either too slow for the risk described or use a pathway intended for a different presentation. Specifically, Arrange routine pelvic physiotherapy; Refer urgently to the early pregnancy unit; Refer to emergency gynaecology care; Refer immediately to emergency obstetric care would be suboptimal in this scenario. Referral timing is determined by red flags, pregnancy stage and suspected cancer or emergency pathways.

Reference: NICE NG12