00:01 Here, we’ll take a look at ovarian tumors. 00:04 With ovarian tumors, 6% of cancers in female are ovarian tumors. 00:11 By the time we’re done with this, I'll give you a proper organization and I’ll tell you where to focus with ovarian tumors because it is a lot of information. 00:18 There’s no doubt about that. 00:19 But if you have proper organization, trust me, it doesn’t seem so bad. 00:25 Eighth most common form of cancer of women in the United States. 00:30 Usually detected late. 00:32 Why? Well, because the patient is pretty much asymptomatic. 00:36 And by late, well, we had this discussion earlier, neoplasia – Just to make sure we’re clear – that ovarian tumor and cancer, it may begin early at the age of 40 or 45. 00:49 That’s pretty early. 00:51 What do you think the median age of presentation is in the U.S.? Sixties. 00:56 Wow! Yeah. 00:57 That’s almost 20 years of an active tumor in the ovary. 01:01 I don’t care how benign it’s been. 01:03 If it remains active for 20 years, of course it then becomes malignant and kills your patient. 01:10 Look at this. 01:11 Fifth most common cause of cancer death overall. 01:16 One, two and three in a female. 01:18 Remember, one, lung. 01:19 Two, breast. 01:20 Three is going to be colorectal. 01:22 Five, right up there. 01:24 Amazing! Pathogenesis: Responsible for almost half of deaths from cancer of female genital tract, ovarian tumor. 01:35 What we’ll do here, and I’ll show you a picture, is to then categorize and organize. 01:40 I would prefer to show you the picture so that you’d clearly see where your emphasis will be and should be with ovarian tumors. 01:49 Risk factors before we get to the organization. 01:52 Risk factors: Nulliparity. 01:54 Family history. 01:55 BRCA1 and BRCA2.
The lecture Ovarian Tumors by Carlo Raj, MD is from the course Ovarian Diseases.
Which of the following patients is at highest risk for ovarian cancer?
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