Symptoms are not early signs of ovarian cancer

doi:10.1136/bmj.b3955

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Marian J Mourits, professor and gynaecological oncologist1,
Geertruida H de Bock, associate professor and clinical epidemiologist1

¹University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands

M.J.E.Mourits{at}og.umcg.nl

Hamilton and colleagues detected significant associations between bloating and increased abdominal distension and diagnosis of ovarian cancer,1 but these symptoms are not early signs of ovarian cancer but of advanced stage disease: an enlarged ovary, omental cake, or ascites. Visiting a doctor will result in diagnosis but not improved prognosis.

Bloating …