00:01
Here, we’ll take a look
at ovarian tumors.
00:04
With ovarian tumors, 6% of cancers
in female are ovarian tumors.
00:11
By the time we’re
done with this,
I'll give you a proper
organization
and I’ll tell you where to
focus with ovarian tumors
because it is a lot
of information.
00:18
There’s no doubt about that.
00:19
But if you have
proper organization,
trust me, it doesn’t
seem so bad.
00:25
Eighth most common form of cancer
of women in the United States.
00:30
Usually detected late.
00:32
Why?
Well, because the patient is
pretty much asymptomatic.
00:36
And by late,
well, we had this discussion
earlier, neoplasia –
Just to make sure we’re clear –
that ovarian tumor and cancer, it may
begin early at the age of 40 or 45.
00:49
That’s pretty early.
00:51
What do you think the median age
of presentation is in the U.S.?
Sixties.
00:56
Wow!
Yeah.
00:57
That’s almost 20 years of an
active tumor in the ovary.
01:01
I don’t care how
benign it’s been.
01:03
If it remains active
for 20 years,
of course it then becomes
malignant and kills your patient.
01:10
Look at this.
01:11
Fifth most common cause
of cancer death overall.
01:16
One, two and three in a female.
01:18
Remember, one, lung.
01:19
Two, breast.
01:20
Three is going to be colorectal.
01:22
Five, right up there.
01:24
Amazing!
Pathogenesis:
Responsible for almost
half of deaths from cancer
of female genital
tract, ovarian tumor.
01:35
What we’ll do here,
and I’ll show you a picture,
is to then categorize
and organize.
01:40
I would prefer to show you the
picture so that you’d clearly see
where your emphasis will be and
should be with ovarian tumors.
01:49
Risk factors before we
get to the organization.
01:52
Risk factors:
Nulliparity.
01:54
Family history.
01:55
BRCA1 and BRCA2.