{"id":454,"date":"2019-03-25T15:06:14","date_gmt":"2019-03-25T15:06:14","guid":{"rendered":"https:\/\/www.saintjohnscancer.org\/gynecology\/?page_id=454"},"modified":"2024-11-13T22:49:53","modified_gmt":"2024-11-13T22:49:53","slug":"ovarian-cancer","status":"publish","type":"page","link":"https:\/\/www.saintjohnscancer.org\/gynecology\/conditions-we-treat\/ovarian-cancer\/","title":{"rendered":"Ovarian Cancer: Signs and Symptoms"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":null,"protected":false},"author":2,"featured_media":0,"parent":368,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"class_list":["post-454","page","type-page","status-publish","hentry"],"acf":{"layers":[{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"<p style=\"font-size:28px; line-height:30px; font-weight:600; color: #042f72;\">At the Saint John\u2019s Cancer Institute, personalized care is our top priority as we help you beat ovarian cancer using a multi-disciplinary approach to care, ensuring we treat the entire person and not just the disease.  Our care teams are ready to support you.\n<\/p>\n<h2>About Ovarian Cancer<\/h2>\n<p><figure id=\"attachment_562\" aria-describedby=\"caption-attachment-562\" style=\"width: 340px\" class=\"wp-caption alignright\"><img decoding=\"async\" style=\"margin-top:-25px\" src=\"https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/ovarian-cancer-3D-microscopic.jpg\" alt=\"ovarian cancer 3D - microscopic\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-562\" srcset=\"https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/ovarian-cancer-3D-microscopic.jpg 800w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/ovarian-cancer-3D-microscopic-300x237.jpg 300w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/ovarian-cancer-3D-microscopic-768x608.jpg 768w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/ovarian-cancer-3D-microscopic-100x79.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption id=\"caption-attachment-562\" class=\"wp-caption-text\">Ovarian cancer starts in one or both of the ovaries.<\/figcaption><\/figure>A woman\u2019s risk of getting ovarian cancer during her lifetime is about 1 in 78, according to the American Cancer Society. This cancer mainly develops in older women. Knowing common ovarian cancer symptoms and signs can help with early detection. It is one of the most serious types of gynecologic cancer because it often goes undetected until it has spread to other parts of the body, such as the pelvis and abdomen.<\/p>\n<p>Ovarian Cancer begins in the woman\u2019s ovaries. The ovaries produce eggs and hormones, including estrogen and progesterone. Our team at the Saint John\u2019s Cancer Institute understands that personalized care is top of the list when we diagnose and treat ovarian cancer.<\/p>\n<h2>Causes of Ovarian cancer<\/h2>\n<p>Eight out of ten ovarian cancers occur sporadically, meaning it is not inherited.<\/p>\n<p>20% is related to a genetic mutation, like BRCA, which can be tested for if you have a strong family history.<\/p>\n<p>In both cases, prevention combines mainstream medical options like oral contraceptives as well as integrative lifestyle choices, including exercise, nutrition, and toxin avoidance.<\/p>\n<h2>Ovarian Cancer Symptoms<\/h2>\n<p><figure id=\"attachment_563\" aria-describedby=\"caption-attachment-563\" style=\"width: 406px\" class=\"wp-caption alignright\"><img decoding=\"async\" style=\"margin-top:-20px\" src=\"https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/ovarian-cancer-symptoms.jpg\" alt=\"Ovarian Cancer Symptoms - Saint John&#039;s Cancer Institute\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-563\" srcset=\"https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/ovarian-cancer-symptoms.jpg 818w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/ovarian-cancer-symptoms-300x209.jpg 300w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/ovarian-cancer-symptoms-768x534.jpg 768w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/ovarian-cancer-symptoms-100x70.jpg 100w\" sizes=\"(max-width: 818px) 100vw, 818px\" \/><figcaption id=\"caption-attachment-563\" class=\"wp-caption-text\">Ovarian cancer symptoms may include discomfort similar to abdominal comditions such as bloating and nausea.<\/figcaption><\/figure>Some of the symptoms of ovarian cancer can often be confused with non-cancerous conditions. It is important to follow up with your gynecologist if you feel these symptoms are worsening.<\/p>\n<ul>\n<li>Persistent abdominal bloating and nausea<\/li>\n<li>Loss of appetite or feeling fuller faster<\/li>\n<li>Pressure in the pelvis or lower back<\/li>\n<li>Frequent or urgent urination<\/li>\n<li>Changes in bowl movements<\/li>\n<li>Changes in menstruation<\/li>\n<\/ul>\n<h3>What are the early signs and symptoms of ovarian cancer?<\/h3>\n<p>The early signs and symptoms of ovarian cancer are often subtle and easily mistaken for less serious conditions. Recognizing these early signs and symptoms is crucial for timely diagnosis and treatment, as ovarian cancer often goes undetected until it has reached a more advanced stage.<\/p>\n<p><strong>Early Symptoms:<\/strong><br \/>\n<figure id=\"attachment_561\" aria-describedby=\"caption-attachment-561\" style=\"width: 700px\" class=\"wp-caption alignright\"><img decoding=\"async\" style=\"margin-top:-25px\" src=\"https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/Ovaria-Cancer-Saint-John-Cancer-Institute.jpg\" alt=\"Ovaria Cancer - Saint John&#039;s Cancer Institute\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-561\" srcset=\"https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/Ovaria-Cancer-Saint-John-Cancer-Institute.jpg 1000w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/Ovaria-Cancer-Saint-John-Cancer-Institute-300x202.jpg 300w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/Ovaria-Cancer-Saint-John-Cancer-Institute-768x517.jpg 768w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/Ovaria-Cancer-Saint-John-Cancer-Institute-100x67.jpg 100w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><figcaption id=\"caption-attachment-561\" class=\"wp-caption-text\">One or more symptoms may present with ovarian cancer.<\/figcaption><\/figure><\/p>\n<ul>\n<li><strong>Bloating<\/strong>: Persistent abdominal bloating is a common early sign.<\/li>\n<li><strong>Pelvic Pain<\/strong>: Discomfort or pain in the pelvic area can also be an early indicator.<\/li>\n<li><strong>Urinary Changes<\/strong>: An urgent need to urinate or increased frequency may occur.<\/li>\n<\/ul>\n<p>These early symptoms differ from more advanced signs of ovarian cancer, which may include more pronounced pain, significant weight loss, or noticeable abdominal swelling due to large tumors.<\/p>\n<p><strong>Advanced Symptoms:<\/strong><\/p>\n<ul>\n<li><strong>Severe Pain<\/strong>: As the cancer progresses, pain in the lower abdomen or back can intensify.<\/li>\n<li><strong>Digestive Issues<\/strong>: Nausea, vomiting, and loss of appetite become more apparent.<\/li>\n<li><strong>Breathing Difficulties<\/strong>: If the cancer spreads to the lungs, breathing problems may develop.<\/li>\n<\/ul>\n<h2>Risk Factors of Ovarian Cancer<\/h2>\n<p><strong>A woman is at an increased risk of ovarian cancer if she:<\/strong><br \/>\n<figure id=\"attachment_564\" aria-describedby=\"caption-attachment-564\" style=\"width: 456px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/endometriosis.jpg\" alt=\"Endometriosis\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-564\" srcset=\"https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/endometriosis.jpg 902w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/endometriosis-300x225.jpg 300w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/endometriosis-768x576.jpg 768w, https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/sites\/8\/2024\/09\/endometriosis-100x75.jpg 100w\" sizes=\"(max-width: 902px) 100vw, 902px\" \/><figcaption id=\"caption-attachment-564\" class=\"wp-caption-text\">Women may be at increased risk of ovarian cancer having a history of endometriosis or cancer among other conditions.<\/figcaption><\/figure><\/p>\n<ul>\n<li>Has a family history or personal history of cancer or endometriosis<\/li>\n<li>The BRCA1 &amp; BRCA2 genetic mutation<\/li>\n<li>Started menstruating at an early age (before 12)<\/li>\n<li>Has never given birth<\/li>\n<li>Had her first child after 30<\/li>\n<li>Experienced menopause after 50<\/li>\n<li>Never took oral contraceptives<\/li>\n<li>Infertility<\/li>\n<li>Is obese<\/li>\n<li>Has had hormone replacement therapy<\/li>\n<\/ul>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-none","layer_id":""},{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"<h2 style=\"margin-top:-40px\">Screening and Clinical Diagnosis<\/h2>\n<p>Ovarian cancer is most often detected in later stages by biopsy of tissue or fluid. A pelvic exam, CT scan of the abdomen and pelvis, as well as a CA 125 blood test are ways to help in diagnosing ovarian cancer.<\/p>\n<p>Our integrative approach to cancer care employs the fundamentals of functional medicine analysis in order to assess for the root cause of ovarian cancer, whether there is an inherited genetic component or environmental in origin. The \u201cenvironment\u201d includes lifestyle choices, including personal habits, nutrition, toxin exposure and exercise routine. This forms the basis for diagnosis towards functional integrative holistic treatment involving mainstream 21-century treatment and natural support and cancer-fighting health optimization.<\/p>\n<p><strong>Detection Methods:<\/strong><\/p>\n<ul>\n<li><strong>Pelvic Examination<\/strong>: A doctor can detect abnormalities by feeling the ovaries and surrounding organs.<\/li>\n<li><strong>Imaging Tests<\/strong>: Transvaginal ultrasound and CT scans can help visualize tumors, assessing their size and extend of spread.<\/li>\n<li><strong>Blood Tests<\/strong>: The CA-125 test measures a protein level that can be elevated in ovarian cancer, though it is not definitive.<\/li>\n<li><strong>Symptom Evaluation<\/strong>: Persistent symptoms such as bloating, pelvic pain, or changes in bowel habits often prompt further investigation.<\/li>\n<li><strong>Biopsy<\/strong>: If imaging or blood tests suggest cancer, a biopsy is performed to confirm the diagnosis by examining tissue samples.<\/li>\n<\/ul>\n<p>Early detection is challenging because symptoms are often subtle, but these methods collectively help identify ovarian cancer and determine the best treatment approach. Regular check-ups and being aware of potential symptoms are crucial for early diagnosis and effective management.<\/p>\n<p>Our integrative approach to cancer care employs the fundamental of functional medicine analysis in order to assess for root cause of ovarian cancer, whether there is a inherited genetic component or environmental in origin. The \u201cenvironment\u201d includes lifestyle choices, inclusive of personal habits, nutrition, toxin exposure and exercise routine. This forms the basis for diagnosis towards functional integrative holistic treatment involving mainstream 21 century treatment and natural support and cancer-fighting health optimization.<\/p>\n<h3>What Organ Does Ovarian Cancer Spread to First?<\/h3>\n<p>Ovarian cancer often spreads first to nearby organs within the pelvis.<\/p>\n<p><strong>Typical Spread Pattern for Ovarian Cancer:<\/strong><\/p>\n<ul>\n<li><strong>Local Spread<\/strong>: The cancer typically affects the bladder and rectum initially.<\/li>\n<li><strong>Abdominal Spread<\/strong>: It can then move to the lining of the abdomen, called the peritoneum, and nearby lymph nodes.<\/li>\n<li><strong>Advanced Stages<\/strong>: As the disease progresses, it may reach more distant organs, such as the liver or lungs.<\/li>\n<\/ul>\n<h3>Does Ovarian Cancer Spread Fast?<\/h3>\n<p>Ovarian cancer can spread quickly, making early detection crucial. Initially, it often spreads within the pelvis and abdomen before showing clear symptoms. The speed of progression can vary, with some types of tumors growing rapidly, which increases the urgency for treatment. Subtle symptoms, such as bloating, pelvic pain, or changes in bowel habits, might indicate that the cancer is spreading. Paying prompt attention to these signs is vital, as early intervention can slow the progression and help manage the disease more effectively. Regular check-ups and being aware of potential symptoms are key to catching ovarian cancer early.<\/p>\n<h3>Does Ovarian Cancer show up in blood work?<\/h3>\n<p>Ovarian cancer can sometimes be detected through blood work, but it\u2019s not always a definitive method.<\/p>\n<p><strong>Key Test:<\/strong><\/p>\n<ul>\n<li><strong>CA-125 Blood Test<\/strong>: This test measures the level of a protein that is often elevated in women with ovarian cancer. However, it\u2019s important to note that elevated CA-125 levels can also result from non-cancerous conditions, such as endometriosis or pelvic inflammatory disease.<\/li>\n<li><strong>Limitations<\/strong>: Because of these potential overlaps, CA-125 alone cannot confirm ovarian cancer.<\/li>\n<li><strong>Complementary Testing<\/strong>: Doctors typically use blood work in combination with imaging tests, such as ultrasounds or CT scans, and a thorough evaluation of symptoms to diagnose ovarian tumors.<\/li>\n<\/ul>\n<p>Monitoring for symptoms like pelvic pain, bloating, or changes in bowel habits, along with regular check-ups, is crucial.<\/p>\n<h2>Treatment of Ovarian Tumors<\/h2>\n<p>You may receive more than one type of treatment for your cancer, depending on several factors, including the grade of the tumor, where it is located and whether the cancer has spread to other parts of your body.<\/p>\n<p>Before we set up a specific treatment plan for your ovarian cancer we will take the following into account:<\/p>\n<ul>\n<li>Your age, overall health and medical history<\/li>\n<li>The extent of the disease<\/li>\n<li>Your tolerance of specific medicines, procedures or therapies<\/li>\n<li>Expectations for the course of the disease<\/li>\n<li>Your treatment preferences<\/li>\n<\/ul>\n<p>We will discuss the options available with you so that you are as informed as possible when making the decision.<\/p>\n<p>Treatment typically includes surgery, chemotherapy, biological therapies, or a combination of these, depending on the cancer\u2019s stage. Surgical intervention at the Saint John\u2019s Cancer Institute utilizes cutting-edge robotic-assisted technology. Fertility-sparing surgery is available under certain circumstances.<\/p>\n<h3>Follow-up<\/h3>\n<p>Ovarian cancer patients should follow routine examination including scheduled pelvic exams, lab tests and imaging as needed.<\/p>\n<p><strong>Learn About <a href=\"https:\/\/www.saintjohnscancer.org\/gynecology\/treatment\/treatment-for-uterine-cancer\/\"><u>Ovarian Cancer Treatment Options<\/u><\/a><\/strong>.<\/p>\n<h4 style=\"font-size:26px; font-seight:500\">Ovarian Cancer 101 Webinar<\/h4>\n<p><i>Everything you need to know abount ovarian cancer<\/i>, with Steven A. Vaselev, MD, provides informattion about signs and symptoms of ovarian cancer, and the most advanced treatments.<\/p>\n<div style=\"padding-left: 10%; padding-right: 10%; padding-top:20px\">\n<div style=\"position: relative; padding-top: 56.25%;\" align=\"center\"><iframe style=\"position: absolute; top: 0; left: 0; width: 100%; height: 100%;\" src=https:\/\/www.youtube.com\/embed\/jDT6HQlqlro?rel=0&amp;autoplay=1 frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<p>&nbsp;<\/p>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-gray-l","layer_id":""},{"acf_fc_layout":"layer_two_column","layer_label":"","layer_headline":"","layer_intro":"","layer_content_left":"<p style=\"font-size: 32px;line-height: 36px;font-weight: bold;color: #fff!important\">If you have questions regarding cervical cancer or would like an expert second opinion, please call today or <a href=\"https:\/\/www.saintjohnscancer.org\/contact-us\/?center=Gynecologic+Oncology\">click here to schedule an appointment<\/a>.<\/p>\n","layer_content_right":"<p style=\"font-size: 44px;font-weight: bold;text-align: center;padding-top:5%\"><a href=\"tel:310-829-8402\">310-829-8402<\/a><\/p>\n","layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-orange","layer_id":""},{"acf_fc_layout":"layer_people","layer_label":"","layer_headline":"Our specialists who treat ovarian cancer","layer_intro":"","people":{"5766":{"id":5766,"title":"Hyo K. Park, MD"}},"layer_people_more_link":{"title":"MEET OUR TEAM OF GYNECOLOGIC ONCOLOGY EXPERTS","url":"https:\/\/www.saintjohnscancer.org\/gynecology\/meet-our-team\/","target":""},"layer_background_color":"bg-gray-l","layer_id":""},{"acf_fc_layout":"layer_featured_blog_items","layer_label":"","layer_headline":"Gynecologic News and Health Information From Our Blog","layer_intro":"","layer_featuredblog_col_width":"quarters","layer_featuredblog_pullbycat":"blog","layer_featuredblog_selectblogcat":["gynecologic","ovarian","urology"],"layer_featuredblog_selectblogauth":[],"layer_featuredblog_more_link":{"title":"READ MORE GYNECOLOGIC ARTICLES","url":"https:\/\/www.saintjohnscancer.org\/blog\/category\/gynecologic\/","target":""},"layer_background_color":"","layer_id":""}],"int_alt_page_title":"","int_page_description":"","int_masthead_image":false,"int_page_icon":"","int_secondary_cta_override":false,"int_secondary_cta_is_hidden":false,"header_scripts":"{\r\n    \"@context\": \"https:\/\/www.schema.org\",\r\n    \"@type\": [\r\n       \"MedicalWebPage\"\r\n    ],\r\n    \"audience\": \"http:\/\/schema.org\/Patient\",\r\n    \"url\": \"https:\/\/www.saintjohnscancer.org\/gynecology\/conditions-we-treat\/ovarian-cancer\/\",\r\n    \"@id\": \"https:\/\/www.saintjohnscancer.org\/gynecology\/conditions-we-treat\/ovarian-cancer\/#medicalwebpage\",\r\n    \"mainEntityofPage\": \"https:\/\/www.saintjohnscancer.org\/gynecology\/conditions-we-treat\/ovarian-cancer\/\",\r\n    \"headline\": \"Ovarian Cancer: Signs and Symptoms\",\r\n    \"name\": \"Ovarian Cancer Signs, Symptoms, and Diagnosis | Saint John\u2019s Cancer Institute - Santa Monica, CA\",\r\n    \"description\": \"Ovarian Cancer begins in the woman\u2019s ovaries. 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Combined with the exceptional quality of Saint John\u2019s medical staff and hospital, a unique community-based cancer research and training institute was formed, outstanding in the areas of translational research and the treatment of solid tumors including surgical oncology, immunotherapy, chemotherapy, and radiation. Leading this remarkable charge was the late Donald L. Morton, M.D., a larger than life presence who was born in a rural, coal-mining town in West Virginia. His persistent, scientific questioning of the role of the immune system in fighting cancer led to many advances throughout his decorated career. 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the liver or lungs.\",\r\n          \"Recurrent: Recurrent ovarian cancer is cancer that has returned after treatment.\"\r\n       ],\r\n       \"code\": {\r\n          \"@type\": \"MedicalCode\",\r\n          \"codeValue\": \"C56\",\r\n          \"codingSystem\": \"ICD-10\"\r\n       },\r\n       \"signOrSymptom\": {\r\n          \"@type\": \"MedicalSignOrSymptom\",\r\n          \"name\": [\r\n             \"Persistent abdominal bloating\",\r\n             \"Loss of appetite or feeling full quickly\",\r\n             \"Pelvic pain\",\r\n             \"Frequent or urgent urination\",\r\n             \"Changes in bowel movements\",\r\n             \"Changes in menstruation\",\r\n             \"Severe pain in lower abdomen or back\",\r\n             \"Nausea or vomiting\",\r\n             \"Breathing difficulties\"\r\n          ]\r\n       },\r\n       \"riskFactor\": [\r\n          {\r\n             \"@type\": \"MedicalRiskFactor\",\r\n             \"name\": \"Family History of 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Vasilev, M.D., MBA, FACOG, FACS, FACN, ABIHM, ABOIM\",\r\n          \"email\": \"Steven.Vasilev@providence.org\",\r\n          \"telephone\": \"+1-310-829-8402\",\r\n          \"photo\": \"https:\/\/www.saintjohnscancer.org\/gynecology\/wp-content\/uploads\/2018\/04\/005-480x480.jpg\",\r\n          \"description\": \"Dr. Vasilev and his team help and guide women to defeat gynecologic cancers using a unique combination of minimally invasive robotic surgery, precision cancer therapies and complementary holistic natural support towards thriving in survivorship. Dr. Vasilev is the only physician quadruple board certified in Ob-Gyn, Gynecologic Oncology and Integrative & Holistic Medicine in the United States. He is an accomplished oncologic and robotic surgeon and has trained hundreds of fellows and residents. Currently, he serves as Medical Director of Integrative Medicine and Integrative Gynecologic Oncology at Providence Saint John\u2019s Health Center, Professor at Saint John\u2019s Cancer Institute in Santa Monica, California and is a Professor on the Loma Linda University School of Medicine faculty. Since completion of his fellowship training in Gynecologic Oncology at the USC Kenneth Norris Comprehensive Cancer Center he has been recognized as a surgical innovator, minimally invasive and robotic surgery pioneer, and thought leader in mainstream and integrative oncology. Dr. Vasilev was Director of the Department of Gynecologic Oncology at the City of Hope Cancer Center (1991-1997), Assistant Professor University of California at Irvine (1991-1997), Professor University of Southern California School of Medicine (1999-2012), Professor UCLA School of Medicine (2003-2019), Regional Director of Gynecologic Oncology Kaiser Permanente (2001-2009), Chief of Service Obstetrics and Gynecology Los Angeles Medical Center Kaiser Permanente (2006-2010), and Regional Director of Surgical and Radiation Therapy Clinical Trials Kaiser Permanente (2005-2016).  Dr. Vasilev has been Principal Investigator for multiple institutions, and has managed over $15 million of research funding. He is a sought-after speaker, has authored over 90 publications, abstracts, book chapters and is the author-editor of a gynecologic oncology textbook and a popular book on integrative oncology. 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