Risk factors and symptoms of ovarian cancer: Is the GPaware?

Abstract

Introduction: Epithelial ovarian cancers are the leading cause of death amongst all gynecological cancers. Mostly ovarian cancer remains asymptomatic till it becomes huge in size. Catching it early is challenging as no screening test is available. Goff symptom index (GSI) is a symptom-based tool available for primary health care settings for early detection of ovarian cancer. This study was carried out to assess knowledge, perception and understanding of general practitioners practicing in and around Pune about symptoms and risk factors of ovarian cancer. Material and Methods: Cross sectional study using online Google forms. The Google form was created based on a prevalidated Oxford University OvCAM tool. It included the Goff Symptoms index-based questions. Questions were open, as well as, closed ended type. We received 150 responses. Results: Respondent practitioners were able to identify three common symptoms as abdominal distention, pain, and menstrual irregularity. Family history of ovarian and breast cancer as a risk factor was missed by 49% and 70% responded abdominal ultrasound as first investigation. Clinical pelvic examination was not quoted by any of the participants. Majority of them were aware that Pap smear has no role for screening ovarian cancer. Conclusion: The general practitioners around Pune are aware about persistent pain and abdominal swelling as possible symptoms of ovarian cancer. Continuous medical education regarding risk factors of ovarian cancer, exposure to tools like Goff symptom index will be helpful in developing awareness other nonspecific symptoms and timely referral of patients for further evaluation.