What is the difference between primary and metastatic ovarian cancer?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Could you please explain the difference between primary and metastatic ovarian cancer?

Doctor's answer:

Need to know the detailed condition of the residual lesions after the first surgery. It is best to bring all medical records and pathology results to the outpatient clinic for evaluation. Generally, if there are many residual lesions after the first surgery and lymph nodes were not cleared, it is advisable to undergo another surgery after three cycles of chemotherapy to remove all lesions, which can lay the foundation for better treatment outcomes. However, your condition is also quite special, especially since you also have leukemia. It is currently unclear whether the lesions on the ovary and in the abdomen also have extramedullary metastasis of leukemia. This will greatly affect the subsequent treatment plan and needs to be clarified first.

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