| Booklet: What You Need to Know about
Ovarian Cancer |
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Followup Care
In some cases, doctors recommend "second-look" surgery after
chemotherapy is complete. This allows the doctor to examine the abdomen
directly and take fluid and tissue samples to see whether the treatment has
been successful. If cancer is found, additional treatment is needed.
When treatment is over, regular checkups generally include a physical
exam, as well as a pelvic exam and Pap smear. Sometimes doctors also order
chest x-rays, a CT scan of the abdomen, and laboratory tests such as
urinalysis, a complete blood count, and the CA-125 assay. Often the CA-125
level in a patient's blood is high before surgery and returns to normal
within several weeks after the tumor has been removed. If the CA-125 level
begins to rise again, it may mean the cancer has come back.
Depending on the drugs she has received, a woman treated for ovarian
cancer with chemotherapy may have an increased risk of developing leukemia
later in life. However, it is important to keep in mind that the benefits of
receiving treatment for ovarian cancer far outweigh the risks of future
disease.
Women should carefully follow their doctor's advice on health care and
checkups, and should report any problem to the doctor as soon as it appears.
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