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24 September 2014
Inside Out: Surprising Stories, Familiar Places

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ÌýÌýÌýInside Out - East: Monday 20th January, 2003

CANCER SCREENING

Nina's video diary
Nina Hobson returning from surgery
Both Nina's mother and grand mother suffered from ovarian cancer
PART ONE
PART TWO
PART THREE
PART FOUR
NINA'S HUSBAND TALKS
ÌýÌýREALPLAYER REQUIRED

Nina Hobson swaps her role as Inside Out reporter, to share with us her frightening and very moving experience of ovarian cancer.

When Nina was 18 months old, her grandmother died of ovarian cancer. More recently, her mother died of the same disease. Nina therefore runs a high risk of developing the disease too.

After developing abdominal pain, Nina took action and went to visit her GP.

No available testing

Nina was shocked to learn screening is not readily available for this type of cancer.

At the moment, only breast cancer and cervical cancer are routinely screened for.

Breast cancer is the most common cancer in women, yet ovarian cancer is more common than cervical cancer.

Nina’s GP explained that as yet, there is no reliable test for ovarian cancer. So instead, Nina is referred to a genetic counsellor.

Genetic counselling

Like Nina, you may be forgiven for imaging that genetic testing would involve a simple blood test. Genetic counsellor Ann Kershaw explains that the procedure is far more complicated than that.

Family tree
Both Nina's mother and grandmother suffered from Ovarian cancer

A blood sample from an affected family member is first required in order for the gene fault to be identified. Once the gene fault is detected, they can then test the patient's blood to see if they too carry the gene responsible.

Without blood from an affected family member, the process becomes almost impossible.

Both Nina’s mother and grandmother died from the disease, making genetic counselling little help in this case.

Left with no option, Nina pays privately for an ovarian scan and within two weeks is in hospital awaiting surgery for suspected ovarian tumors.

Surgery

Cancer rates

A league table of cancer types and incident rates for women in Norfolk.

breast 575
skin 554
colon 166
lung 166
ovary 141
uterus 97
rectum 63
lymphoma 61
bladder 53
melanoma 51
pancreas 44
osophagus 36
cervix 30

Simon Crocker, consultant gynaecologist and obstetrician explains that in high risk families, any abnormality is acted upon immediately. Simon says;

"From a practical point of view, we are taking away all reasonable risk,"

Nina goes into surgery unsure whether she will need a hysterectomy, but with even the slightest chance of cancer, she knows the surgeons will take no risks.

Once out of surgery, Nina’s worst fears are confirmed. Finding several cysts on her ovaries and an enlarged area, surgeons were forced to carry out a hysterectomy. Understandably, this is devastating news for Nina;

"Knowing I can no longer have children is hard .. I’ve got two lovely kids and I should be grateful for that, but it doesn’t make it any easier and I’m really struggling."

Difficult decision

Photo album
Nina has two children, but that doesn't make her hysterectomy any easier to deal with

To make her decision all the more difficult to deal with, Nina’s ovaries turn out to be free from cancer. Unfortunately surgery was the only way of discovering this. Although as Nina reasons, "It was too big a risk to do nothing."

Just four weeks after the operation, Nina returns to work and life begins to return to normal. Developing ovarian cancer was a risk too big to ignore.

Nina can now look forward to a healthy life free from the fear of ovarian cancer. She hopes that future medical developments will bring a screening test to save other women going through a similar experience;

"I’m going to move on from this and be strong and if this video helps just one person deal with what we’ve dealt with over the past few weeks, then it’s been worth every second…

"Maybe we’ve all learnt to expect too many medical miracles, but that doesn’t stop me hoping that history won’t repeat itself for my children."

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Readers' Comments

We are not adding any new comments to this page but you can still read some of the comments previously submitted by readers.

Sara Crisell
I am a wormen with cancer, and because the cancer i have it has made it so that i am unable to work,i spend my time now working with others to make the care and the tretment of cancer better for all.

I would like to say that i found your report was in part very good and it highligted the need for a way that ovarian cancer can be detacted, and a treated quicker.(i know a lot of women who are still alive after haveing ovarian cancer). I also know that more needs to be done in the tretments of all cancers. But some of your report i found misleading and upsetting. You said that women are screen for breast cancer, yes it is a fact they are. But you have to be over the age of 50. I think you could have put this fact in. I was found to have breast cancer at the age of 29. (I know that the report was about ovarian cancer). But it would have made the fact that detecting any cancers is vital. so that not so meny people die each year.

I can understand how Nina felt when she was told that she would from now on, would be unable to have children. But for me this was the upsetting part of your report. I am now 34 after 3 years of beening in remission and having a small hope that i may be a mother, i was found to have secondry breast cancer on my liver and spine. That put the end to me being a mum. So unlike Nina i have not got the consulation of 2 children.

I can not express the feelings of all women but i can say this it is hard to deal with having cancer, and the fact that being unable to have children can make it even harder. It was hard for me on Monday night to have someone who already has 2 children coming across making me feel that i should be sorry for her. I may be sounding very hard ,but from were i sit not knowing how long i will be alive. IT IS HARD.

Rosalind Wythe
I am chairman of a local branch of WellBeing (the health research charity for women and their babies) we have supported projects at Addenbrookes Hospital in Cambridge looking into genetic links of ovarian cancer with over one million pounds. In March we have an ovarian cancer awareness month when teal coloured ribbons will be sold in Boots and BHS. Please support us there is still much work to be done. www. wellbeing.org.uk

Dr Camilo Colaco
As Nina Hobson had a family history of ovarian cancer, hse knows that any abnormality should be acted on immediately. What additional use would a genetic test telling her for certain she carried a defective gene be to her?. Surely development of cancer therapy must be the primary goal; what use is a diagnostic test if there is no treatment?