How do symptoms like abdominal pain, fullness, nausea, and weight loss related to ovarian cancer?

Question

Hello doctor,

I have abdominal pain, fullness, nausea, weight loss, and leg edema. I would like a second opinion and another interpretation of my scans, please. In February, I started having bad abdominal fullness, nausea, vomiting, anemia, and weight loss for a few weeks. Then I felt a little better, but then I got the same again. I am worried about possible ovarian cancer, as three of my aunts had it, my mom and five aunts had breast cancer, and my grandma died of peritoneal cancer of ovarian origin. When I looked at the CT scans, they seemed of pretty poor quality compared to the images I see online.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

Thank you very much for providing detailed history and uploading all the blood tests (attachment removed to protect patient identity).

Blood tests give us many clues. You definitely have fewer red blood cells than expected, but also you have a low white blood cell count. That definitely makes me think about some problems related to the bone marrow where those cells are produced. With the production of fewer red and white blood cells, it is also expected you have a low level of blood proteins.

Let me tell you about your abdomen-pelvis scan. Scan quality is good; they started with noncontrast, then got the venous-routine phase with also an additional delayed phase. The liver, gallbladder, spleen, pancreas, bilateral adrenal glands, and kidneys look normal. The uterus and bilateral ovaries are normal. The bladder is normal. What is abnormal? Intraabdominal fluid, ascites, which explains your fullness. The good news is there is no evidence of ovarian cancer or any other masses.

I highly recommend you see a hematologist and maybe sample bone marrow. I strongly believe you have bone marrow disease regarding the production of blood cells, if you would like to read about it, it might be some mild form of pancytopenia, although your platelet number still looks low normal.

I hope this helps.