A 55-year-old woman presents to the GP with persistent bloating for 6 weeks and a feeling of fullness when eating. She has lost 2 kg. Her serum CA-125...

Question

A 55-year-old woman presents to the GP with persistent bloating for 6 weeks and a feeling of fullness when eating. She has lost 2 kg. Her serum CA-125 is 52 U/mL (normal

Accepted Answer

Refer on a suspected cancer pathway (2-week wait) for gynaecological assessment

Answer

Repeat CA-125 in 3 months

Answer

Arrange a CT abdomen and pelvis before referral

Answer

Prescribe a proton pump inhibitor for bloating and review in 4 weeks

Answer

Reassure as the ultrasound shows normal ovaries

uk-drcog MCQ (SBA): Ovarian Cancer Referral Pathway