Often the symptoms of ovarian cancer are vague and nonspecific. Persistent, worsening or unusual abdominal or pelvic symptoms should prompt a careful examination of the patient.
Symptoms at presentation may include:
(1) unusual fatigue or lack of energy
(2) unusual bloating
(3) feeling intra-abdominal fullness
(4) feeling intra-abdominal pressure
(5) pain in the abdomen, pelvis or back
(6) unusual constipation or diarrhea
(7) urinary tract symptoms (frequency, urgency, burning on urination)
(8) loss of appetite
Less common presentations:
(1) virilization or feminization
(2) bowel obstruction
(3) signs of distal metastases
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