Five facts women need to know to stop ovarian cancer 
 BY CARLOTTA MOHAMED 
 September  is  Ovarian  
 Cancer Awareness Month  
 and  NewYork-Presbyterian  
 Queens  is  helping  to  raise  
 awareness,  risk  factors,  
 as  well  as  its  symptoms,  
 that all women are at risk  
 of developing.  
 According to the American  
 Cancer Society, an estimated  
 22,530 new cases of ovarian  
 cancer  will  be  diagnosed  in  
 the  United  States  this  year.  
 Unfortunately, ovarian cancer  
 is difficult to detect, especially  
 during the early stages.  
 Dr.  David  Fishman,  vice  
 chair  of  obstetrics  and  gynecology  
 and the director of  
 gynecologic  oncology  at New- 
 York-Presbyterian  Queens,  
 believes there needs to be a  
 paradigm  shift  in  how  to  approach  
 the treatment and  
 prevention of ovarian cancer.  
 “Ovarian cancer takes the  
 lives of far too many women  
 each  year,”  said  Fishman,  a  
 professor  of  clinical  obstetrics  
 and  gynecology  at  Weill  
 Cornell Medicine. “Because  
 of misdiagnosis  and  a  lack  of  
 awareness that all women are  
 at  risk  of  developing  ovarian  
 cancer, it is often diagnosed  
 too late. It’s important for  
 women  to  know  their  risk  of  
 developing this disease and its  
 earliest warning signs.” 
 To  detect  early  symptoms  
 of  the  disease,  Fishman  is  
 offering the following facts:  
 Know  the  symptoms.  
 Early symptoms are easy to ignore  
 and can include: bloating,  
 abdominal pain, feeling full  
 quickly and frequent urination. 
  Other symptoms include  
 indigestion,  nausea,  weight  
 gain, shortness of breath and  
 back pain.  
 Pap smears do not detect  
 ovarian  cancer.  Many  
 patients  believe  that  a  clean  
 pap test means that they are  
 clear  of  ovarian  cancer.  This  
 is not the case. A pap smear  
 diagnoses  cervical  disease  
 and is not a tool to diagnose  
 ovarian cancer. 
 Know  the  risk  factors.  
 A woman’s  risk of developing  
 ovarian cancer is about 1 in  
 78, according to the American  
 Cancer Society. One of the best  
 ways  to  evaluate  your  risk  is  
 based on your personal and  
 family  history.  About  20  to  
 Dr. David Fishman, vice chair of obstetrics and gynecology and the director of gynecologic oncology  
 at NewYork-Presbyterian Queens,  is  helping  to  raise awareness about ovarian cancer  that  is  often  
 misdiagnosed in women.  Photo courtesy of NewYork-Presbyterian Queens 
 25% of women diagnosed with  
 ovarian cancer have a family  
 history of the disease. 
 Other factors increasing  
 a woman’s  risk  include  infertility, 
   early menstrual  cycles,  
 obesity and increasing age. To  
 determine  if  you  are  at  risk  
 for developing ovarian cancer, 
  you should be evaluated  
 by a board-certified  
 genetic counselor. 
 Certain behaviors may  
 reduce  your  risk  of  developing  
 ovarian cancer. According  
 to the Centers for Disease  
 Control and Prevention,  
 women who use birth control  
 for  five  or  more  years,  have  
 given birth or have breastfed, 
   or  have  had  a  hysterectomy  
 or tubal ligation are at  
 a  reduced  risk  of  developing  
 ovarian cancer. 
 Prevention of ovarian cancer  
 can also be achieved by  
 removing the ovaries and fallopian  
 tubes. Women should  
 speak with their doctor about  
 whether this procedure is appropriate  
 for them. 
 When  detected  early,  
 ovarian cancer is very  
 treatable.  If  ovarian  cancer  
 is  discovered  early  and  it  is  
 confined  to  the  ovary  (Stage  
 I), depending on the type of  
 ovarian  cancer,  theAmerican  
 Cancer Society notes that patients  
 have on average a 90%  
 five-year survival rate.  
 To learn more, contact  
 the NewYork-Presbyterian  
 Queens Cancer Center  at  718- 
 303-3725. 
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