26th April 2024

A 55-year-old woman presents with a 5-month history of increasing abdominal girth, persistent bloating, and early satiety.

A 55-year-old woman presents with a 5-month history of increasing abdominal girth, persistent bloating, and early satiety. She mentions intermittent pelvic pain and urinary frequency. Her family history includes a sister with breast cancer. 

Investigations:

Haemoglobin: 110 g/L (120–160)

CA-125 level: Significantly elevated

Which is the most likely diagnosis?