A 58-year-old with persistent early satiety and abdominal distension has CA125 82 IU/mL. Pelvic and abdominal ultrasound is reported as normal.

Question

A 58-year-old with persistent early satiety and abdominal distension has CA125 82 IU/mL. Pelvic and abdominal ultrasound is reported as normal. Symptoms continue after two weeks. Which plan is most appropriate?

Accepted Answer

Investigate other causes, safety-net symptoms and review her early in primary care

Answer

Repeat CA125 at the next routine health check rather than reviewing the persistent symptoms

Answer

Reassure permanently because a normal pelvic ultrasound excludes clinically significant ovarian cancer

Answer

Begin ovarian-cancer chemotherapy while arranging subsequent histological confirmation

Answer

Refer directly for bilateral salpingo-oophorectomy without further diagnostic assessment

Suspected ovarian cancer — DRCOG MCQ

A 58-year-old with persistent early satiety and abdominal distension has CA125 82 IU/mL. Pelvic and abdominal ultrasound is reported as normal. Symptoms continue after two weeks. Which plan is most appropriate?