Ovarian cancer — DRCOG MCQ

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HardGynaecological OncologyOvarian cancerDRCOG

A woman has ascites, raised CA125 and a complex adnexal mass on pelvic ultrasound. When should she be referred?

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Correct answer: D — Urgently to gynaecological oncology

Ascites, raised CA125 and a suspicious adnexal mass require urgent specialist gynaecological-oncology assessment. Repeating tests or treating presumed benign disease delays the cancer pathway.

Reference: NICE NG12: Suspected cancer recognition and referral: https://www.nice.org.uk/guidance/ng12/chapter/recommendations-organised-by-site-of-cancer