Patient discussion about ovarian cancer

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Q. What Are the Risk Factors for Ovarian Cancer?

My neighbor has recently found out she has ovarian cancer. Are there any known risk factors for this disease?
A1Well I was diagnosed with ovarian cancer, at the age of 41, was on birth control pills, no family history of it ,was pregnant x2. I had no risk factors.
A2Several factors are known today to cause increased risk for ovarian cancer. There is good evidence that in some women genetic factors are important, for instance carriers of certain mutations of the BRCA1 or the BRCA2 gene (higher risk in certain populations such as Ashkenazi Jewish women). Other non genetic factors include- older age, women that had no pregnancies or first pregnancy at an older age. Oral contraceptives have actually shown to be somewhat protective against ovarian cancer.
A3Ovarian cancer is the second most commonly diagnosed gynecologic malignancy. There are some risk factors that are known to have a connection with developing the disease; however, the exact cause is usually unknown. The disease is more common in industrialized nations, and older women are at highest risk. The more children a woman has, the lower her risk of ovarian cancer. Early age at first pregnancy, older ages of final pregnancy and the use of low dose hormonal contraception have also been shown to have a protective effect.

Q. Does ascites mean it's the end?

My mother, age 65 was diagnosed with ovarian cancer in a routine US examination. It was also diagnosed she already has mild ascites. Does that mean her cancer is metastatic?
A1Ascites can render the staging of the cancer as metastatic, but it depends on the specific characters of the ascites, so further testing is needed here.
A2Not necesserily. She may have ascites and the cancer would still be considered to be in early stage. The stage of the cancer depends on other things as well.
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