A 45-year-old woman presents to the GP with a 2-month history of abdominal bloating and increased urinary frequency. She has a family history of ovari...

Question

A 45-year-old woman presents to the GP with a 2-month history of abdominal bloating and increased urinary frequency. She has a family history of ovarian cancer (mother, diagnosed age 52). Her GP requests a serum CA-125, which returns at 28 U/mL (normal

Accepted Answer

If symptoms persist, repeat CA-125 in 6 weeks and/or arrange a pelvic ultrasound

Answer

Reassure and discharge as CA-125 is normal

Answer

Refer on a 2-week wait pathway regardless of CA-125

Answer

Repeat CA-125 in 6 months

Answer

Arrange a CT abdomen and pelvis

uk-drcog MCQ (SBA): Persistent Ovarian Symptoms with Normal CA-125