anfl body of fbe ut?rue combined. Most wanan temours are ol epithelial (irigm. Tlie&E jre Mre befure Hit age of 35'years buttle incider-DE increases i | . large- olume Dr _ uc 11LO CQpfi I .b Ẽ terns IS similar to t t ae1 ri ngy. Insulin arri poctgtyt co mi I ion prwntinfl r. atera sa psngo- . . -i lol Stan I and c It a pi e r Carcinoma of the ovary and Fallopian tube CanDEr of Ihe ovary E R V I E 143 Cance ofrliG Fallopian lube 152 of tha ovary is mosl common ii1 the ijeamiyridtirjri .c-t 111fcworld There die lustundsr 6000 case each ysar in Ibs UK Wb ilfl ffiB incidence of ovarian cancer is si mi l r to thai of endometri urn aridcf cervix more women die from ovar n cancer than fro- 1 Adrtinnma nl fl anfl body of fbe ut rue combined. Most wanan temours are ol epithelial irigm. Tlie E jre Mre befure Hit age of 35 years buttle incider-DE increases i iitb age IG a peak in tbe 5Q-7Q-ypar-i ld aae gmup Fig. j. MoAtspltlieli amours art not discovered until they hava spread widely Some at fiiesE nvariai lumouis prnoabiy arise frnm the fallopian of whmh arn .Dually racogriized only v tien at a relatively early Atage Surely and rjhemufherapy. mdirily V 4H carboplafir DI cisplalm and paciilaxel form lire mapnsfay nf iiBaf-ms nr for epithelia tumours. The results Íiíiyũũr less that 25 py US lit u 1 0 11 will O jirtaii csuce- Illi at 5 yea T. DnJv 3 pEri Hnln nvanan cjnggrs are seen mwnm fin you ngerthan 35 yea rs and most of these are non Ajjltnelial cancers St1 a yerm 11 luinuurs An conlrasf To epithelial fumpurs. germ DE lumouis can be Ireaterjvpry successfully Vifh DĐRSíritìlíVP su ilwirid modĩm rntllrt dnjq itiemodltiapy Ferlilitycanoffen buAjnaerved. _ CANCER OF THE OVARY Aeliology Incessant uunlation theory Epithelial liimaura arc mosl trcqucntlv wilb nulli iari y jr t tly rncnjrdic A late age at menopju e and j high esrimjTeJ number of vewri ol oAiiliition. Grill contraceptive use reduces the rkk iouifuld The Cancer and Steroid Hormont Sludy 1997 . lk ive er even without urdl Lonlidceplives inciej .ingage at first birtli reduces tht risk of ovarian cancer. This and other anomialici .