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Ovarian cancer — DRCOG MCQ

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HardGynaecological OncologyOvarian cancerDRCOG

A 58-year-old has persistent bloating and early satiety. Examination is unremarkable and serum CA125 is 62 IU/mL. What investigation should follow?

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Correct answer: D — Arrange ultrasound of the abdomen and pelvis

The best answer is “Arrange ultrasound of the abdomen and pelvis”. For symptoms suggesting ovarian cancer, NICE advises ultrasound of the abdomen and pelvis when CA125 is 35 IU/mL or higher. Ultrasound findings then determine urgent referral and subsequent imaging; cervical screening does not investigate these symptoms.

Reference: NICE CG122: Ovarian cancer recognition and initial management: https://www.nice.org.uk/guidance/cg122/chapter/recommendations