{
  "schema_version": 1,
  "kind": "condition",
  "id": "ovarian-cancer",
  "name": "Ovarian cancer",
  "category": "chronic",
  "sources": "ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GD28.01 - condition scope only, no dose · NICE NG12: Suspected cancer: recognition and referral (recommendation 1.5) - https://www.ncbi.nlm.nih.gov/books/NBK555330/ · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Ovarian cancer - disease-level clinical article (ovarian-cancer-full.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1288,
      "generic": "No drug therapy in primary care (Recognition & Referral)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Malignant ovarian tumour; a Cairo GP recognises red-flag symptoms and refers urgently to gynae-oncology for surgical staging and chemotherapy, which are outside primary-care prescribing.",
      "adult_duration": "Refer",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "Malignant ovarian tumour; a Cairo GP recognises red-flag symptoms and refers urgently to gynae-oncology for surgical staging and chemotherapy, which are outside primary-care prescribing.",
      "cautions": [
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - High-risk adnexal lesions (O-RADS 5) with malignancy risk >=50% require immediate referral to a gynecologic oncologist.",
        "RED FLAG - Irregular, firm, fixed, and nodular pelvic masses or ascites should prompt further evaluation with imaging studies.",
        "RED FLAG - Persistent abdominal bloating or distension, unexplained weight loss, or postmenopausal ovarian enlargement on ultrasound."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "ovarian-cancer"
    }
  ]
}