Document | Type of examination specified | Signs |
---|---|---|
Continental Europe | ||
Epithelial ovarian carcinoma (Neth) | Not specified | - Pelvic mass / abdominal mass |
- Ascites | ||
- Pleural effusion | ||
- Increased uterine / vaginal prolapse | ||
- Enlarged supraclavicular lymph nodes | ||
Guideline on diagnostics, therapy and follow-up of malignant ovarian tumours (Ger) | Abdominal and pelvic / gynaecological examination (including digital and speculum) | - Ovarian mass |
United Kingdom and the Republic of Ireland | ||
Epithelial Ovarian / Fallopian Tube / Primary Peritoneal Cancer Guidelines: recommendations for practice (UK) | Examination | - Pelvic or abdominal mass |
Suspected cancer: recognition and referral (Eng) | Physical examination | - Ascites |
- Pelvic / abdominal mass (not obviously uterine fibroids) | ||
Ovarian cancer GP referral for symptomatic women (Ire) | Clinical examination (include a bimanual-pelvic examination) | - Unexplained ascites |
- Pelvic mass | ||
- Palpable ovaries in postmenopausal women | ||
Scottish referral guidelines for suspected cancer (Scot)a | Abdominal palpation | - Ascites |
- Pelvic or abdominal mass (not obviously uterine fibroids, gastrointestinal or urological in origin) | ||
Management of epithelial ovarian cancer (Scot) | Not specified | - Not specified |
Scandinavia | ||
Integrated ovarian cancer patient pathway (Den) | Gynaecological examination (including palpation and speculum) | - Ascites |
- Pelvic mass | ||
Ovarian cancer patient pathway (Nor) | Not specified | - Not specified |
Standardised ovarian cancer care pathway (Swed)b | Palpation of superficial lymph nodes, abdominal palpation, rectal examination and auscultation of the heart and lungs | - Pleural effusion (unexplained) |
- Ascites | ||
Australasia | ||
Assessment of symptoms that may be ovarian cancer: a guide for general practitioners (Aus) | Abdominal palpation, pelvic assessment, vaginal and rectal examination | - Firm resistance on abdominal palpation |
- Unexplained fullness | ||
-Fullness + shifting dullness on percussion | ||
- Hard irregular mass in the pouch of Douglass | ||
- Adnexal mass | ||
Appropriate referral of women with suspected ovarian cancer (Aus) | Not specified | - Not specified |
Optimal care pathway for women with ovarian cancer (Aus) | General and pelvic examination | - Not specified |
Suspected cancer in primary care: guidelines for investigation, referral and reducing ethnic disparity (NZ) | Abdominal palpation and pelvic examination | - Not specified |
North America | ||
Ovarian cancer: including fallopian tube cancer and primary peritoneal cancer (USA) | Abdominal and pelvic examination | - Suspicious palpable pelvic or abdominal mass |
- Ascites or abdominal distension | ||
The role of the obstetrician-gynaecologist in the early detection of epithelial ovarian cancer in women at average risk (USA) | Not specified | - Not specified |
Ovarian cancer diagnosis pathway map (Ont, Can) | Directed physical examination. Pelvic examination including speculum and bimanual examinations and examination of the external genitalia | - Suspicious palpable pelvic or abdominal mass |
- Ascites | ||
Genital tract cancers in females: ovarian, fallopian tube, and primary peritoneal cancers (BC, Can) | A physical examination of the abdomen and pelvis including a pelvi-rectal examination | - Abdominal mass |