Patient's question:
Recently, I've been feeling discomfort in my private area, lower abdominal pain, and my period hasn't come. Is it possible I 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 the question of what are the common early symptoms of pelvic cancer, the answer is as follows. 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 include lower abdominal distension, significantly elevated CA125, and ultrasound findings of solid or mixed lesions. Endometrioma-like cysts rank second, with approximately half of the cases having a history of dysmenorrhea, one-third having menstrual disorders,、, and a small portion of cases showing no obvious symptoms, occasionally with lower abdominal heaviness and distension. Ultrasound suggests that most cases appear as anechoic areas, some as mixed echoes, with thick, irregular capsules, more commonly on both sides, and mildly elevated CA125. 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, leading to neglect and lack of treatment, or incomplete resolution during the acute phase, resulting in prolonged inflammation.