But when mass kistik (elastic), easily driven, strictly limit, and then unilateral cancer is suspected to be benign. There are many ways that can be done to ensure ovarium cancer, among others:
1. examination serum CA 125. Serum CA 125 Marker is a tumor that can be used to separate between the malignant cancer with the tame. However, the examination is more accurate in women who have undergone menopause, whereas in women with menopause have not doubt the results.
2. women in menopause who have not, the examination may be helpful is the use of oral contraceptives and hormone to the periodic inspection done 2 months. When the mass is not off the cancer and also vice versa.
3. Transvaginal USG can be useful to find the mass in the ovarium cancer and malignant cancer or not.
4. CT-scan or MRI can be used to find out how far the location of cancer and cancer spread.
5. laparoskopi definitive diagnostic examination is to be able to determine the malignancy of cancer. Indications to perform laparoskopi, among others:
o Ovarium mass> 7 cm
o Ovarium enlargement in the menopause or 1 year before menstruasi
o The provision of post-hormonal contraception
o Bilateral tumor (except theca lutein cyst)
o Hard tumor
o Torsi symptoms (tumor terputar) or rupture (tumor broken)
o Ascites
Therapy or treatment that can be done in the ovarium cancer is highly dependent on the stadium and the condition of cancer patients during therapy will be done. When the cancer is still small and has not spread then the most appropriate therapy is operatif, but if you can spread it in combination with radiotherapy (radiation) and Chemotherapy in accordance with the policies that deal with your doctor. It is more important is the second-look laparotomy action that is the first operation after operation to ensure that no cancer cells remaining in the ovarium and see the response of the body treatment.
