Before ovarian tumor surgery, doctors perform several tests to confirm the diagnosis, assess the extent of the disease, and ensure you're fit for anesthesia and surgery.
Common preoperative tests include:
- Pelvic ultrasound – Often the first imaging test to evaluate the size, shape, and characteristics of the ovarian mass.
- Blood tests
- Complete blood count (CBC)
- Kidney and liver function tests
- Electrolytes
- Blood clotting tests
- Tumor markers – These help estimate the likelihood of cancer and may include:
- CA-125
- HE4
- Other markers (such as AFP, β-hCG, LDH, CEA, or CA 19-9) may be ordered depending on age and the suspected tumor type.
- CT scan or MRI – Used when additional detail is needed to evaluate the tumor or determine whether it has spread.
- Chest imaging – A chest X-ray or CT scan may be performed if cancer is suspected or to assess overall health before surgery.
- Electrocardiogram (ECG) – Evaluates heart function, especially in older adults or those with heart disease.
- Pregnancy test – Recommended for women of childbearing age before surgery and anesthesia.
- Anesthesia assessment – Reviews your medical history, medications, allergies, and overall fitness for surgery.
Additional tests when appropriate
- Genetic testing (such as BRCA1/BRCA2) if there is a strong personal or family history of ovarian or breast cancer.
- Pulmonary function tests if you have significant lung disease.
- Additional cardiac testing if you have known heart conditions or abnormal ECG findings.
