What are the symptoms of advanced ovarian cancer?

Late-stage ovarian cancer means that cancer cells have spread, and the spread is quite serious. The ways of metastasis include implantation metastasis, lymphatic metastasis, hematogenous metastasis, or direct spread, which is very harmful to patients. Conservative treatment is usually required at this time. After metastasis, it is easy to penetrate the capsule and pass through the intestinal tract to form a large number of nodules, which can easily cause ascites symptoms, etc.

Implantation metastasis: Ovarian cancer can penetrate the capsule, intestinal tract, etc., forming a large number of nodular or papillary metastatic cancers, especially the papillary tissue of serous cystadenocarcinoma, which is more likely to penetrate the tumor capsule and spread to various parts of the abdominal cavity, causing a large amount of ascites. This is the most common symptom of metastatic spread of ovarian cancer.

Hematogenous metastasis: Ovarian malignant tumors rarely metastasize via the bloodstream, except for sarcomas, malignant teratomas and advanced cases. Generally, the symptoms of metastasis and spread of ovarian cancer in distant parts can reach the liver, pleura, lungs and other parts.

Direct spread: Advanced ovarian cancer not only adheres to the peritoneal tissues, but can also directly infiltrate these tissues, such as the uterus, parietal peritoneum, broad ligaments, fallopian tubes, colon, and small intestine. Symptoms of ovarian cancer metastasis can even spread through the fallopian tubes to the uterine cavity.

Lymphatic metastasis: Lymphatic metastasis is a common way of metastasis of ovarian cancer. It usually metastasizes to the para-aortic lymph nodes, but can also metastasize along the round ligament to the inguinal lymph nodes. This is also a common symptom of ovarian cancer metastasis.