The last day of operation for Hertfordshire and West Essex ICB was 31 March 2026. The information on this website has not been updated since 31 March 2026. The legacy policies, prescribing recommendations and pathways can be accessed on this website. Find out more

RAG rating
n/a
Document type
Clinical pathways
Place
Hertfordshire and West Essex ICB
Output type
Clinical Pathways
Pathway
Ovarian Cancer Pathway

Ovarian Cancer

Pathway Publish Date: March 2025
Pathway Review Date: March 2027
 

The suspected ovarian cancer pathway is triggered by symptoms such as persistent abdominal bloating, early satiety, pelvic pain, or urinary issues, especially in women aged 50 or older. Key risk factors include a family history of ovarian or breast cancer, endometriosis, and certain genetic mutations (BRCA1/2).

If physical exams reveal ascites or a pelvic mass- immediate referral to a gynaecological cancer service is necessary.

Elevated CA125 levels (≥35 IU/ml) require further investigation through ultrasound

And any other findings suggestive of ovarian cancer prompt urgent referral for a two-week wait (2WW) appointment. The pathway emphasizes quick action for timely diagnosis and treatment.

Please see pathway for further details. 
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