Malignant Ascites

Availability

North South North West Statewide

Pre-referral work-up

History

Women with new onset suspected malignant ascites:

  • Consider the diagnosis of malignant ascites when renal, liver and cardiac disease has been considered as a cause and eliminated

Women with tubal or ovarian or other gynaecological malignancy presenting with ascites may or may not have a significant pelvic mass.

For women presenting with newly suspected malignant ascites possibly due to a gynaecological malignancy. Contact with the services consultants via the Royal Hobart Hospital Switch or their Secretary (Phone: 6166 8049) will ensure prompt attention.  On occasion admission for prompt investigation is the optimal management.  All referrals should comply with referral standards.

Tests

  • FBE, LFT, C&E, coagulation profile
  • CT scan abdomen and pelvis  and chest
  • CEA
  • CA 125 level

Interim/GP management

To refer a patient with this condition, please see the Gynaecologic Oncology clinic page for the full referral process and templates.

For more information please see the Tasmanian Health Pathways website.

Urgent / category 1

Malignant ascites

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

We will endeavour to see urgent referrals for women with a suspected or proven gynaecologic malignancy within one to two weeks.  If you have any trouble obtaining an urgent appointment please contact our secretary on (03) 6166 8049.

Semi-urgent:

Women will be given an appointment between one to eight weeks depending upon reason for referral

Routine: