A 60-year-old woman has persistent bloating, early satiety and pelvic pain for 3 months. What does NICE NG12 advise?
Answer and explanation
Correct answer: D. Measure serum CA125 and arrange ultrasound if raised
- Step 1: Persistent symptoms in women over 50 raise concern for ovarian cancer.
- Step 2: CA125 first, then pelvic ultrasound if it is 35 IU/mL or above.
Answer
Measure serum CA125 and arrange ultrasound if raised.
Why not the others: Arrange cervical screening at the practice: Cervical screening does not investigate ovarian symptoms. Offer HRT: HRT does not address the concern. Reassure that bloating is common and prescribe antacids with review in a year: Dismissing symptoms may miss cancer.
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