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A young woman suffering excruciating stomach pains diagnosed herself with ovarian cancer using Google.
By the time the Sadie Rance's disease was discovered, a tumour growing on her ovary had reached the size of a melon.
Until then, the 22-year-old had been told her agonising stomach pain and constipation were caused by irritable bowel syndrome (IBS).
As her pain became unbearable Mrs Rance turned to the internet to search for answers.
She discovered her symptoms met almost all the key signs of advanced ovarian cancer.
After requesting more tests doctors diagnosed her with stage four ovarian cancer in September 2013.
In January last year doctors performed an exploratory operation but discovered they could not remove the growth, because it had attached itself to her internal organs.
The advanced cancer had spread to her small bowel, liver, diaphragm, heart and lungs.
Mrs Rance has now been told she has between one and two years to live.
Mrs Rance, from Bromley, Kent, said: 'The trouble I had was that ovarian cancer is very rare in people under 50, and the type I have is even more rare, so I don't think it was ever even something that was considered.
WHAT ARE THE SYMPTOMS OF OVARIAN CANCER?
The signs of ovarian cancer are not easy to spot and can be vague.
They can just about all be attributed to another less serious condition, particularly where the disease is less advanced.
Many women suffering the very early stages of ovarian cancer, stage one, won't have any symptoms at all.
If they do notice changes, they are most likely to suffer pain in the lower abdomen or side, and bloating, or a full feeling in the abdomen.
By the time ovarian cancer has spread outside the ovaries (stages two and three), the symptoms include:
irregular periods or vaginal bleeding after menopause
lower tummy pain
back pain
passing urine more often than normal
constipation
pain during sex
a swollen abdomen
feeling of fullness or a loss of appetite
When the cancer spreads to a distant body organ, for example the lungs, it is classed as being stage four ovarian cancer.
Symptoms in this late stage include:
loss of appetite or feeling full
feeling or being sick
constipation
tiredness
shortness of breath
noticeable swelling of the abdomen
Source: Cancer Research UK
originally posted by: kayej1188
a reply to: Anyafaj
Not exactly sure what your point is here. Are you suggestingy that if google conflicts with what your doctor says, you should go with google? Also, just out of curiosity, how was the distinction made between Autism and ACC given that the symptoms are quite similar?
originally posted by: kayej1188
a reply to: Anyafaj
But you did not really address my question. I'm wondering how one would differentiate between her symptoms being a direct result of her ACC, and her symptoms being a results of something completely other than ACC. Autism is simply a collection of behaviors and personality traits--there are no clinical tests that can confirm a diagnosis of autism, just a cognitive work-up. In order for you to conclude that your daughter has autism in addition to ACC, your daughter must have specific symptoms that are unique to autism which cannot also be attributed to ACC. I'm wondering what those symptoms were. If ACC can mimic autism, what makes you sure that all of her symptoms are not a direct result of ACC?
"We and others had noted this resemblance between AgCC and autism before," explains Lynn Paul, lead author of the study and a lecturer in psychology at Caltech. But no one had directly compared the two groups of patients. This was a challenge that the Caltech team was uniquely positioned to do, she says, since it had studied patients from both groups over the years and had tested them on the same tasks.
"When we made detailed comparisons, we found that about a third of people with AgCC would meet diagnostic criteria for an autism spectrum disorder in terms of their current symptoms," says Paul, who was the founding president of the National Organization for Disorders of the Corpus Callosum.
One important difference between the two sets of patients did emerge in the comparison. People with autism spectrum disorder showed autism-like behaviors in infancy and early childhood, but the same type of behaviors did not seem to emerge in individuals with AgCC until later in childhood or the teen years.
"Around ages 9 through 12, a normally formed corpus callosum goes through a developmental 'growth spurt' which contributes to rapid advances in social skills and abstract thinking during those years," notes Paul. "Because they don't have a corpus callosum, teens with AgCC become more socially awkward at the age when social skills are most important."
The corpus callosum is a wide bundle of over 200 million axons which link the right and left hemispheres of the brain. During development, this important bridge is not always formed correctly and can either be malformed or partially or completely absent. This condition is referred to as Agenesis of Corpus Callosum (AgCC). A group of researchers have established a link between AgCC and autism. The announcement comes from the lab of Ralph Adolphs of Caltech, and the paper published in the journal Brain.
Though severing the corpus callosum can alleviate seizures in those with severe epilepsy, a rare defect which first presents during the first trimester of pregnancy leaves some without that structure, or with one that was not completely or correctly formed. AgCC typically isn’t fatal, but those with the condition may have delayed developmental milestones, social difficulties, memory issues, and/or cognitive impairments. These are also many of the same symptoms of autism.
A rare birth defect may offer a unique perspective on the connectivity theory of autism, which holds that the brains of people with autism have defective long-range connections.
Up to one-third of those missing all or part of the corpus callosum, a thick tract of nerve fibers connecting the left and right brain hemispheres, meet the diagnostic criteria for autism, several recent studies suggest.
“One of the most consistent findings in autism is diminishment of size of the corpus callosum,” says Elliott Sherr, associate professor of neurology at the University of California, San Francisco, School of Medicine.
About 1 in every 4,000 people lack part or all of the corpus callosum. The condition, increasingly diagnosed before birth, is formally known as agenesis of the corpus callosum (AgCC).
“When we’re talking about autism these days, we’re often talking about it as a disorder of long-range connectivity — and AgCC is the ultimate disconnection model,” says Elysa Marco, assistant professor of clinical neurology at the University of California, San Francisco, School of Medicine.
It’s often not clear what causes the abnormality, which strikes early in brain development. But a growing number of brain imaging studies are shedding new light on the extent and details of the condition. Some people are missing the entire corpus callosum; in others, a fragment of the structure remains. Structural damage can be limited to the corpus callosum (dubbed ‘isolated’ AgCC) or spread across the brain.
As in autism, symptoms of AgCC can vary widely. Some people with the defect may have severe epilepsy, cerebral palsy or developmental delay. Others, primarily those with isolated AgCC, are able to attend college, hold down a job and raise a family.
In fact, they do so well that “some people think that callosal agenesis has no impact on functioning,” says Lynn Paul, senior research scientist at the Caltech Emotion and Social Cognition Laboratory in Pasadena, California. But Paul and others say that even those who are most successful usually have subtle language and social impairments.
The findings are broadly similar to those reported last year by another group of researchers2. In that study, researchers administered the Autism Spectrum Quotient, a screening instrument, to 106 people with AgCC or, in the case of children under age 16, their parents. The researchers found that 45 percent of children, 35 percent of adolescents and 18 percent of adults with AgCC reach the threshold for an autism diagnosis.
originally posted by: kayej1188
a reply to: Anyafaj
Clearly you're misinterpreting the crux of my question. I'd like to mention that I am a doctor myself. I know what autism is, and I know what ACC is--thus I am aware of the similarity between the symptoms of ACC and those of the Autism Spectrum Disorders. I will not push this topic any further, as I am afraid I may be coming off as insensitive, which was not my hope.
originally posted by: Phage
a reply to: Anyafaj
If you aren't sure, go with your gut.
A (medical) second opinion can't hurt either.