A lethal cancer’s long reach

While ovarian cancer is not always inherited, family history is the top risk factor for the disease, which is diagnosed in 20,000 American women and kills 13,000 annually. Symptoms, such as bloating, pelvic pain, bowel or bladder habit changes, and unusual vaginal discharge or bleeding, are often vague and subtle until the disease is advanced, making it hard to detect and cure. No standard screening test is available for ovarian cancer. Women with symptoms can ask for a pelvic ultrasound. Women with a family history should seek genetic counseling and testing.