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What is Epithelial Ovarian Cancer?

The most prevalent kind of ovarian cancer is epithelial. This cancer starts in the epithelial tissue, a thin membrane covering the outside of the ovary.

Cancer may also develop in the lining of a fallopian tube. It could also begin in the peritoneum, the tissue surrounding your abdominal organs.

Medical professionals classify fallopian tube malignancies and primary peritoneal cancers as epithelial ovarian cancers.

What is the Importance of Timely Treatment?

Timely treatment of epithelial ovarian cancer is essential for increasing survival rates and quality of life. Early detection and intervention, such as surgery and chemotherapy, can dramatically improve treatment outcomes and remission rates.

Cancer is frequently identified in its later stages, when it has spread to other places, making treatment more challenging. Delaying therapy may allow the cancer to develop, potentially leading to problems such as organ damage, intestinal obstruction, and ascites (fluid accumulation).

Early and immediate therapy allows for better disease control, symptom management, and prevention of cancer spread, resulting in a better prognosis.

What are the Common Symptoms of Epithelial Ovarian Cancer?

Epithelial ovarian cancer rarely produces symptoms in its early stages. Symptoms worsen as the condition advances. As it spreads into your peritoneum (the tissue surrounding your abdominal organs), fluid accumulates in your abdomen (ascites).

  • Symptoms may include abdominal ache
  • Difficulty eating or becoming full quickly
  • Nausea and vomiting
  • Bloating
  • Pelvic discomfort
  • Less common symptoms include urge incontinence and hyperactive bladder
  • Vaginal bleeding

Types of Epithelial Ovarian Cancer

Various types of epithelial ovarian cancer include :

  • Serous ovarian cancer
  • The most frequent type of ovarian cancer is high-grade serous carcinoma (grades 3 or 4). Its name includes the word "serous" because this type of cancer grows in the serous membrane of the epithelial layer of cells that lines the patient's abdomen and pelvis.
  • Low-grade serous carcinoma, the fourth most prevalent type of ovarian cancer, has cancer cells that proliferate at a slower rate than high-grade serous cancer.
  • Endometrioid ovarian carcinoma
  • This kind of cancer, which accounts for approximately 20% of all epithelial ovarian cancer cases, is frequently identified in earlier stages than serous ovarian carcinoma. It is commonly found in people who have a history of endometriosis.
  • Clear-cell carcinoma
  • Also known as "clear cell adenocarcinoma," this is a rare kind of epithelial ovarian cancer in which the cells appear clear under a microscope. It is also suspected to be associated with endometriosis.
  • Mucinous carcinoma
  • One of the most uncommon types of ovarian cancer, this subtype is distinguished by tumors with aberrant mucus-secreting cells. It is the most common subtype of epithelial ovarian cancer found in women under 40.

Causes, Risk Factors and Complications of Epithelial Ovarian Cancer

Causes

According to recent research, many ovarian malignancies begin in cells at the end of the fallopian tubes. Then they spread to the ovaries.

Risk Factors

Certain factors may raise your risk of ovarian cancer, including:

  • Family history of ovarian, breast, or colorectal cancer.
  • Inheriting a mutation in the BRCA gene.
  • Inheriting a gene associated with family cancer disorders such as Lynch syndrome.
  • Hormone treatment for menopausal symptoms.
  • Having a baby after age 35, or never experiencing a full-term pregnancy.
  • Obesity refers to carrying excess weight.

Complications

Epithelial Ovarian Cancer (EOC) can lead to several complications, mainly if not diagnosed and treated early. Some of the main complications include:

  • Metastasis
  • Bowel Obstruction
  • Ascites
  • Peritonitis
  • Recurrent Cancer
  • Reduced Fertility
  • Anemia
  • Lymphedema

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Latest Research and Technologies in the Treatment of Epithelial Ovarian Cancer in Singapore

Singapore actively participates in international clinical trials and uses cutting-edge medicines, despite the lack of detailed data on the most recent research and technology for treating epithelial ovarian cancer in the nation. The creation of PARP inhibitors and anti-angiogenic medicines a recent development on a global scale that have demonstrated promise in enhancing patient outcomes. Furthermore, novel strategies like CAR-NK cell therapy are being investigated to improve the effectiveness of treatment.

Epithelial Ovarian Cancer Prevention Tips

Some epithelial ovarian cancer prevention tips:

  • Long-term usage of hormonal birth control may lower the risk.
  • Prophylactic Surgery: High-risk individuals should consider having their ovaries and fallopian tubes removed.
  • Gynecological checks should be performed regularly to detect problems early on.
  • Healthy Diet: Eat a well-balanced diet high in fruits and vegetables.
  • Maintaining a healthy weight reduces the risk of ovarian cancer.
  • Avoid long-term hormone replacement therapy after menopause.
  • Exercise: Engaging in regular physical activity may reduce risk.
  • Breastfeeding may help reduce the risk of ovarian cancer.
  • Seek medical advice if you experience persistent symptoms such as bloating or abdominal pain.

Treatment options for Epithelial Ovarian Cancer

Surgery: Surgery for ovarian cancer may involve removing one or both ovaries, the fallopian tubes, or the uterus. For advanced cancer, surgery may be recommended, with chemotherapy administered before or after surgery.


Cost Start From USD 50000 - USD 200000Explore Options

Chemotherapy: Chemotherapy is a pharmacological treatment that uses chemicals to kill rapidly developing cells in the body, including cancer cells.


Cost Start From USD 36600 - USD 0Explore Options

Targeted therapy: Targeted medication treatments target specific flaws seen in cancer cells. Targeted pharmacological treatments can potentially kill cancer cells by exploiting their weaknesses.


Cost Start From USD 10000 - USD 50000Explore Options

Hormone Therapy: Hormone therapy employs medications to inhibit the effects of the hormone estrogen on ovarian cancer cells. Some ovarian cancer cells need estrogen to develop; therefore, inhibiting estrogen may help control the malignancy.


Cost Start From USD 1000 - USD 3000Explore Options

Immunotherapy: Immunotherapy utilises the immune system to combat cancer. The body's disease-fighting immune system may not attack cancer cells because they create proteins that allow them to hide from immune system cells. Immunotherapy works by interfering with the process.


Cost Start From USD 9000 - USD 234000Explore Options

Radiation therapy: Radiation therapy uses high-energy X-ray photons to eliminate cancer cells.

The following tests and procedures diagnose ovarian cancer:

Pelvic examination: During a pelvic exam, your doctor inserts gloved fingers into your vagina while pressing one hand on your belly to palpate your pelvic organs. The doctor will also visually inspect your external genitalia, vagina, and cervix.

Imaging testing: Ultrasound or CT scans of the abdomen and pelvis can assist in identifying the size, shape, and structure of your ovaries.

Blood testing: Blood testing may include organ function tests, which can assist in determining your overall health.

Genetic testing: Your doctor may recommend that you get a blood sample tested for gene mutations that raise your risk of developing ovarian cancer.

MediRehab (a chain of Rehab centres, part of MediGence) provides comprehensive rehabilitation services to support patients through Teleconsulations and online therapy sessions.

Physical therapy
It can help you manage fatigue, increase mobility, and restore strength following surgery or chemotherapy.

Psychosocial Support
Psychosocial assistance includes counseling and support groups for anxiety, sadness, and emotional well-being before and after treatment.

Lymphedema Therapy
If necessary, treat fluid buildup that may develop following surgery or lymph node excision.

Depending on the circumstances, your doctor may prescribe medication to assist you in managing your symptoms and support your treatment plan.

Treatment regimens are adapted to the patient's specific cancer stage and location.

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Hospitals for Epithelial Ovarian Cancer in Singapore

OncoCare Cancer Centre (Singapore): Top Doctors, and Reviews
OncoCare Cancer Centre (Singapore)

Singapore, Singapore

  • Strategically located in Singapore’s leading private hospitals, it is conveniently accessible to both local and overseas patients.
  • Offers complete cancer services including early detection, diagnosis, personalised treatment, and ongoing care.
  • Offers various treatment options, including chemotherapy, immunotherapy, targeted therapy, and hormone-based therapy, tailored to individual needs.
  • Quick appointment slots and short waiting times help patients get timely care without unnecessary delays.
  • Advanced imaging technology supports accurate diagnosis and monitoring, including CT scans, MRI, and PET/CT scans.
    When needed, genetic screening and cancer risk testing support preventive care and early action
  • Prioritises patient comfort and understanding by offering kind, clear, and tailored medical guidance at every step.
  • The multilingual team communicates in English, Mandarin, Malay, and Bahasa Indonesia, with interpreters available for support as needed.
  • Accepts international health insurance from major global providers and assists with paperwork and direct billing options.
  • Clean, modern clinics equipped for outpatient treatment, including comfortable and quiet chemotherapy areas.
  • Recognised in Singapore for service quality and cancer care, with awards like the Singapore Quality Class with Service.
  • Assists international visitors with support for travel, medical visa letters, nearby accommodations, and local transportation.
  • Trusted by patients from across Asia, the Middle East, Europe, and Australia for expert and reliable care.
  • Committed to using updated clinical methods, with ongoing research and technology adoption to improve treatment outcomes.
Mount Elizabeth Novena Hospital: Top Doctors, and Reviews
Mount Elizabeth Novena Hospital

Novena, Singapore

Mount Elizabeth Novena Hospital located in Novena, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 333 beds
  • Intensive Care Unit beds
  • Endoscopy beds
  • Day ward with 20 beds
  • 13 Operating Theatres, which includes 1 Neurological operating room, 2 Cardiac operating rooms, 4 Orthopaedic operating rooms, etc.
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • 24/7 Accident & Emergency Department
  • Maternity ward
  • 1 major operating unit with 13 operating rooms inclusive of 1 hybrid theatre
  • In-house Pharmacy
  • Rooms are categorized as Single Signature Rooms, Junior Suite and Regal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
Parkway East Hospital: Top Doctors, and Reviews
Parkway East Hospital

Singapore, Singapore

Parkway East Hospital located in Joo Chiat Pl, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Total capacity for 143 beds
  • Hospital rooms are available- Single room, 2-bedded room (8), 4-bedded room (2), Deluxe room, and Orchid/Hibiscus Suite
  • All rooms are equipped with all ensuite facilities like Free wifi, mini fridge, sofa couch, telephone, in-room safe, TV, etc.
  • Maternity wards- Accredited as a baby-friendly hospital under the World Health Organisations Baby-Friendly Hospital Initiative (BFHI)
  • 1 Neonatal Intensive Care Unit (NICU) with 14 cots
  • Intensive Care Unit
  • 1 Operation Theatre with 5 Operating rooms
  • 1 Nursery with 30 cots
  • 1 Parentcraft room
  • 24-hour walk-in-clinic (for emergency)
  • 24-hour Pharmacy

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Why Choose Singapore for Epithelial Ovarian Cancer Treatment?

Here are some of the reasons for choosing Singapore:

  • Due to advancements in medical facilities, such as minimally invasive surgical techniques.
  • World-class experts include highly experienced doctors and JCI-accredited healthcare institutions.
  • Compared to other countries, treatment in Singapore hospitals is cost-effective.
  • Singapore hospitals provide International patient services, including a multilingual support system.
  • Improved treatment methods and biological therapies.

Frequently Asked Questions

The 5-year relative survival rate for ovarian cancer in Singapore is roughly 50%, with considerable variation depending on the stage of the disease at diagnosis.

In Singapore, genetic testing is essential for ovarian cancer detection since it can identify BRCA mutations that affect treatment choices and risk. Early detection, individualised treatment, and educating family members about any genetic risks are all facilitated by it.

Regular follow-up care is critical for monitoring for cancer recurrence, managing treatment side effects, and maintaining overall health. This usually includes regular exams, imaging, and blood testing.

Early signs may be vague and easily missed, but they may include abdominal bloating, pelvic pain or pressure, changes in bowel habits, increased urine urgency, and unexplained weight loss. These symptoms may intensify as the condition progresses.

Yes, immunotherapy is a viable treatment option for ovarian cancer in Singapore, and top hospitals use it as part of their treatment regimens.

Singapore is a cost-effective choice for those seeking treatment because it provides top-notch medical care at affordable costs compared to several Western nations.

Yes, Singapore's healthcare system welcomes patients from abroad and offers excellent EOC treatments at various clinics and hospitals.

Yes, many Singapore hospitals offer both in-person and online consultations to foreign patients seeking a second opinion.