Bumrungrad Health Briefing #89: Why Ovarian Cancer Is Known as the “Silent Killer”
Why It’s Hard to Spot Early
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Vague Symptoms
Early signs like bloating, feeling full quickly, pelvic pain, fatigue, or frequent urination are subtle and often mistaken for minor issues.
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Easily Misdiagnosed
These symptoms overlap with conditions such as IBS, urinary infections, or menstrual changes, leading to delays in diagnosis.
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No Reliable Screening
Unlike breast or cervical cancer, there is no standard test for early ovarian cancer. Tools like CA-125 and ultrasound help in high-risk women but are not accurate for everyone.
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Late Detection
About 75% of cases are diagnosed at Stage III or IV, when cancer has already spread and treatment is more challenging.
Subtle Symptoms to Take Seriously
Some patients with ovarian cancer have no symptoms, especially in the early stages. This is one of the reasons why ovarian cancer is often referred to as a “silent killer.”
If you experience any of the following persistently, especially if new for you or worsening, do not ignore them:
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Some pateins have no symptoms
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Persistent abdominal bloating or swelling
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Feeling full quickly, even after small meals
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Pelvic or abdominal pain or discomfort
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Changes in bowel habits such as constipation or diarrhea
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Frequent or urgent urination
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Unexplained weight loss or gain, fatigue
The Importance of Early Detection
Finding ovarian cancer early greatly improves survival and allows for less aggressive treatment. When diagnosed at Stage I or II, surgery can often remove tumors completely, reducing the need for intensive therapy. New research into early cellular changes in the fallopian tubes may also pave the way for better screening and prevention.
What Can Help
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Know your baseline: Keep track of your normal body rhythms. When something suddenly changes, such as new bloating, more frequent urination, or a fullness feeling, pay attention.
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Do not delay doctor visits if “minor” symptoms persist. Ask your healthcare provider if it could be ovarian cancer.
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Annual checkups: Regular pelvic exams increase the chance of spotting abnormalities early.
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Discuss risk factors: Family history, especially BRCA1/2, previous cancers, age, and reproductive history. If you are higher risk, there may be genetic testing or closer monitoring.
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Specialized care: When ovarian cancer is suspected, seeing a gynecologic oncologist improves chances for correct diagnosis and effective treatment.
At Bumrungrad Women’s Center specializes in early detection of ovarian cancer. With advanced imaging, blood tests, genetic counselling, and tailored treatment plans, our experts are ready to help.
Provide by the Women’s Center at Bumrungrad International Hospital




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