What are the symptoms of pelvic cancer?

Patient's question:

Recently had abdominal pain and went to the hospital for a check-up. They suspect I might have pelvic cancer. What are the symptoms of pelvic cancer?

Doctor's answer:

What are the common early symptoms of pelvic cancer that you must pay attention to? Regarding your question about the common early symptoms of pelvic cancer, here is the answer. Pelvic tumors are primarily characterized by pelvic masses. Ovarian tumors are the most common, among which malignant ovarian tumors account for 3.7%, which is lower than the reported 10%. In addition to a history of pelvic mass, symptoms may include lower abdominal fullness, significantly elevated CA125, and ultrasound findings of solid or mixed lesions. Endometrioma cysts rank second, with approximately half of the cases having a history of dysmenorrhea, one-third having menstrual disorders (manifesting as prolonged menstrual periods or spotting), and a small portion showing no obvious symptoms, occasionally with lower abdominal heaviness or discomfort. Ultrasound typically shows anechoic areas in most cases, with some being mixed echoes. The cyst walls are thick, irregular, and more commonly found on both sides, with mildly elevated CA125 levels. Chronic pelvic inflammatory masses rank third, accounting for 16.48%, mostly due to chronic pelvic inflammation. The main reasons are that symptoms during the acute phase are not severe enough to be treated promptly or the acute phase is not completely cured, leading to prolonged inflammation.

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