Epithelial ovarian cancer is one of the severest ailments that can cause even death. Generally, it is detected at an advanced stage when the overall 5-year survival rate is 20 to 30 percent. If such a cancer is detected at an early stage the survival rate is automatically increased. Although there is no effective way of screening ovarian cancer but women found with symptoms like an increase in bloating, pelvic or abdominal pain, or difficulty while eating or feeling full quickly, are suspected to have ovarian cancer. The symptomatic patients are evaluated with physical examination that includes transvaginal ultrasonography and measurement of levels of the serum tumor marker CA 125 (an instrument for detecting ovarian cancers).Patients having this cancer should immediately be treated by a gynaecologic oncologist who must have past experience in performing comprehensive surgical staging and cytoreductive (debulking) surgery.Role of a Gynaecologist when Diagnosed with Ovarian CancerThe treatment of this cancer is done on the basis of the stage of the disease i.e. the extent or spread of the cancer to other parts of the body. Staging is performed by the a gynecologic oncologist where this cancer is removed. During the surgical process, the surgeon will collect small pieces of tissue (biopsies) from various areas in the abdominal cavity. Depending on the condition of the disease, the surgeon will either amputee the ovary and fallopian tube or both ovaries, uterus and fallopian tubes. In addition, the surgeon will also make an attempt to remove the cancer as much as possible. The stage of this cancer is staged as follows:1. Stage I cancer is confined to one or both ovaries.2. The cancer is in Stage II, if either one or both of the ovaries is involved and has spread to the uterus and/or the fallopian tubes or other areas of the pelvis.3. The cancer is in Stage III, if one or both of the ovaries is involved and has spread to lymph nodes or other areas outside the pelvis but is still within the abdominal cavity, such as the surface of the intestine or liver.4. The cancer is in Stage IV, if one or both ovaries is involved and has spread outside the abdomen or has spread to the inside of the liver.Although ovarian cancer is the second most common type of female reproductive cancer, more women die from this cancer than from cervical cancer and uterine cancer combined. It is estimated that in the United States in 2010, ovarian cancer was diagnosed in 21,880 women and 13,850 women died from this malignancy. The main reason for such a poor outcome is due to the fact that maximum cases of epithelial ovarian cancer are diagnosed at an advanced stage which indicates high chances of death. However, patients diagnosed at an early stage have 90 to 95 percent chances of cure.According to the recent statistical reports it is estimated that the number of women suffering from ovarian cancers is more as compared to number of women suffering from cervical and uterine cancers. In United States ovarian cancer was diagnosed in 21,880 women and 13,850 women died from this malignancy (according to the statistical report of 2010).