Ovarian / Fallopian Tube Cancer

What it is

Ovarian and fallopian tube cancers begin in the reproductive organs located on either side of the uterus. These cancers are often grouped together because they can behave similarly and may spread between these areas. While less common than some other gynecologic cancers, they are often more difficult to detect early.

How it’s diagnosed

Diagnosis may begin with a pelvic exam, imaging tests (such as ultrasound or CT scan), and blood work including tumor markers like CA-125. A definitive diagnosis in the early stages often requires surgery to remove the ovaries and fallopian tubes. In the advanced stages, a biopsy is performed before proceeding with surgery and chemotherapy.

Common symptoms

Symptoms may be subtle and can easily be mistaken for digestive or urinary issues. Common signs include:

If these symptoms are persistent or worsening, it’s important to seek evaluation.

Dr. Kothari’s Approach

Because these cancers can be complex, Dr. Kothari takes a thorough, individualized approach to diagnosis and treatment. She works closely with you to understand your symptoms and health history, and if surgery is needed, she prioritizes minimally invasive techniques whenever safe and appropriate.

Her goal is not just to treat the cancer, but to preserve your quality of life throughout treatment and beyond. Long-term follow-up care is always part of the plan, including support for life after gynecologic cancer—physically, emotionally, and hormonally.

Frequently Asked Questions

I have an ovarian cyst. How do I know if it might be cancer?

Not all ovarian cysts are cancerous—many form as a normal part of the menstrual cycle. If a cyst appears concerning, your provider will assess imaging and bloodwork (tumor markers) to determine whether further evaluation is needed. Most cysts are benign, but persistent or complex ones may require surgery or close monitoring.

Will I need radiation or chemotherapy?

Chemotherapy is commonly part of treatment for ovarian cancer, but it depends on the type and stage of the disease. Radiation is used less frequently and only in select cases. Your care plan will be based on detailed pathology and imaging results after diagnosis or surgery.

What’s the difference between ovarian, fallopian tube, and peritoneal cancer?

These cancers are closely related. Many cancers that appear to start in the ovary may actually originate in the fallopian tube or the peritoneum (the lining of the abdomen). Regardless of origin, they’re usually treated the same way—with a combination of surgery and chemotherapy.

Can ovarian cancer be hereditary? Should I have my ovaries or tubes removed to prevent it?

Yes. About 20–25% of ovarian cancers are linked to inherited genetic mutations, including BRCA1 and BRCA2. Genetic testing is recommended for anyone diagnosed with ovarian cancer—even if there’s no family history. If you carry one of these genes, your care team may discuss whether preventive surgery is appropriate based on your age, family history, and overall risk.

Can I still have children after treatment?

In some cases, yes. Fertility preservation may be possible, depending on your age, diagnosis, and treatment plan. For certain early-stage cancers, it may be safe to preserve one ovary. Other options like egg freezing, donor egg, or gestational surrogacy may also be considered. These discussions are part of your treatment planning from the beginning, especially if family building is a goal.