Stage 4 Ovarian Cancer

What Does it Really Mean?

Stage 4 Ovarian Cancer is the most advanced form of this disease. In this stage ovarian cancer cells have metastasized and spread to other organs of the body such as the liver or lungs.

Together with Stage 3, these are known as the advanced ovarian stages.

See the image below for a detailed view of what Stage 4 looks like:


In the later stages of ovarian cancer, in particular stage 4 given the fact that prognosis is poorest for this stage, cytoreduction becomes crucial in those patients where it is technically feasible. If the procedure is performed “optimally” the prognosis for these patients can improve significantly and survival rates start to approach those of stage 3 cancer.

The procedure involves removing as much of the cancer as possible before patients undergo chemotherapy, to give the drugs the best chance of working by reducing the number of cells the chemotherapy has to kill. So it is important to ensure that the surgeon performing the procedure is experienced enough to achieve the best result possible.

7 Comments on “Stage 4 Ovarian Cancer”

  1. Tracy Baker says:

  2. Krimy Mejorada Galon Labustro says:

    hello..need for your advice,my mother was diagnose of ovarian cancer stage 4 last month,she decline chemotheraphy as her heart is weak,she is taking food supplements and alternative medicines today,on your part,what else she can take to atleast make her energetic..I want my mother to be with us for a longer time.only God knows..still hoping for miracle.
    thank you

  3. Kim Christensen says:

    I'm so sorry to hear this. Sending good vibes.

  4. Vicki Pardee says:

    Another CT scan on Monday, but am wondering what the #'s mean, going from 35 to 135 to 270 in a week. (this is my partner, not me)

  5. cindy reardon says:

    I am looking forward to someone commenting about this issue. I was diagnosed with Stage 4 Ovarian Cancer in June, 2010. It spread to my right pleural cavity. I had 2 surgeries. A complete hysterectomy and the surgical sealing of my right lung to stop it from filling up with fluid. My CA125 blood count was up to 2100 at one time and after taking the chemo drug Alimta, the number went down to 6! They took me off of chemo and in 6 weeks, when I got my 1st CA125 blood test, it began showing signs of getting higher. After 3 consecutive blood tests over the last 6 weeks, the CA125 is now at 244. I am scheduled to go back on Chemo next Tuesday. I am going back on Taxol. I had it once before. I will lose my hair again. I will be getting it weekly this time instead of monthly. I was so happy when the Alimta drug knocked my numbers down to 6 and so disappointed 6 weeks later when it rose again which told me it was back or perhaps never went away in the first place. The Alimta was able to knock the number down to 6 but was not able to keep it in check. It seems the minute I went off of chemo, the cancer came back…I am scared and fear my days are numbered sooner than I anticipated. I am 60 years old.

  6. Jeannie says:

    Hi Cindy,

    I hope you found your answer. How are your numbers now? My mom was told the same as you and just recently was told that chemo is not working for her. Her numbers went down at first and now they are going up. Did you find another alternative to keep the numbers down?
    Hope you are well and look forward to your response.

  7. cindy rutherford dmn says:

    Thank You for publishing this page. It sure makes fighting Ovarian Cancer easier with weapons like this page. I have stage 4 ovariaan cancer and want to know about my ca125 test. When I was first diagnosed in July of 2010 my count was over 36,000. Now since my operation of a complete hysterectomy the numbers have been as low as 35 normal but seems they are coming slowly up and are now close to 200. My oncology doctor tells me that the numbers can vary from the chemo I am receiving directly into my abdomen. Can you verify this for me. It isn’t that I don’t trust my doctor, I just want someone else to tell me the same thing. hee hee Does that make sense to you?

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