title: Symptoms and referral of women with epithelial ovarian tumors.
abstract: OBJECTIVE
  To study referral to hospital units and the clinical characteristics of women with epithelial ovarian tumors in a prospective, population-based study.
  
  
  METHODS
  Clinical information on all women diagnosed with epithelial invasive (n=486) and borderline ovarian tumors (n=137) in Norway during 2002 was derived from notifications to the Cancer Registry of Norway and medical, surgical and histopathological records.
  
  
  RESULTS
  Sixty-one percent of women with invasive ovarian tumors were initially referred to gynecology units. The 38% of women referred to surgical and medical units were more likely to have symptoms as 'bowel irregularity', 'pain outside the abdominal cavity', 'persisting fatigue' and 'respiratory difficulties'. These women were older, had lower performance status and had a delay in treatment of 20 and 24 days respectively compared to 11 at gynecology units.
  
  
  CONCLUSIONS
  Greater awareness of the symptoms of ovarian cancer might lead to earlier diagnosis and treatment and thus possibly improve survival.
authors.affiliation: The Cancer Registry of Norway, Montebello, Oslo, Norway. torbjorn.paulsen@kreftregisteret.no
authors.forename: T
authors.initials: T
authors.lastname: Paulsen
authors.forename: J
authors.initials: J
authors.lastname: Kaern
authors.forename: K
authors.initials: K
authors.lastname: Kjaerheim
authors.forename: C
authors.initials: C
authors.lastname: Tropé
authors.forename: S
authors.initials: S
authors.lastname: Tretli
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D009664:Norway / Q000453:epidemiology; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012042:Registries