11/05/2025
Expert care at IU Health guides patient through ovarian cancer journey -
When Liz Efroymson began having stomach issues in August 2023, she had no idea it was a symptom of ovarian cancer.
“I started taking yoga and pilates classes three or four times a week. I was doing really well, but I started getting a lot of stomach issues,” she explains.
She went to her nurse practitioner and was told it was likely irritable bowel syndrome. However, when the problems persisted, Efroymson decided to go see a gastroenterologist. The doctor found a small hard spot in her lower right abdomen, and she was sent for a CT scan.
Her gynecologist confirmed the diagnosis: ovarian cancer. She was immediately referred to Dr. Lisa Landrum, a gynecologic oncologist at the IU Health Joe & Shelly Schwarz Cancer Center in Carmel.
“People take it different ways. I totally freaked out, you know, I had a lot of anxiety,” Efroymson says. “I wasn’t expecting it. What I’ve learned is that it’s a hard disease to identify by just symptoms.”
“Ovarian cancer is frequently diagnosed late because the presenting symptoms often mimic diagnoses related to bowel or bladder dysfunction,” Dr. Landrum adds. “When women present to the physician with symptoms of fullness, bloating or constipation or diarrhea, these are not symptoms that automatically trigger a CT scan, which is typically how a diagnosis is made.”
Efroymson recalls having a laparoscopy done to identify the type of tumor she had. Dr. Landrum also recommended genetic testing.
“We recommend both germline and somatic genetic testing for patients with advanced ovarian cancers,” Dr. Landrum explains. “This helps us to identify best therapeutic agents for patients based on individualized mutations that may be present in their blood or in the tumor.”
After that, Efroymson underwent three rounds of chemotherapy, receiving the infusion every 21 days. On November 30, she had surgery to remove the tumor, followed by three more rounds of chemotherapy.
During her treatment, she recalls having a lot of anxiety.
“It was hard for me to see people, talk to people,” she explains. “Besides my husband, the only way I could communicate with people was through text.”
Efroymson finished her second three rounds of chemotherapy in March 2024, and she went into remission.
“I want to sing praises from Dr. Landrum regarding my surgery. The first thing they said when I came out was they got it all. But of course, they never fully get ovarian cancer,” she says. “For a year I was in remission, and I felt pretty good. But then, it came back.”
“Most patients with ovarian cancer are diagnosed with advanced stage disease. The risk of recurrence in this setting is approximately 75 to 80 percent,” Dr. Landrum explains. “We are frequently successful with a combination of surgery and chemotherapy at providing a period of time in which no disease is present, but in most cases it comes back in the first two years.”
When the cancer came back in March of this year, Efroymson started another five rounds of chemotherapy with a targeted immunotherapy, which she recently concluded.
Throughout her treatment, she shares she’s been grateful for Dr. Landrum’s care.
“She's the best. She’s very sympathetic. She writes things down for you, so you know exactly what’s going on. She really knows her stuff.”
Efroymson wants to encourage other women to be their own advocates when it comes to their health, especially since it is such a difficult disease to diagnose.
“I would like every woman who goes through these problems to keep in mind that ovarian cancer is a possibility.”
Many of IU Health’s physicians engage in clinical research to improve diagnosis and treatment of gynecologic cancers. One area of diagnostic research is searching for techniques to diagnose ovarian cancer at an earlier stage. Dr. Landrum stresses the importance of this clinical research.
For Efroymson, she hopes sharing her story will help provide education about ovarian cancer as well as inspire hope for others who may be on a similar path.
“I want people to know they’re not alone. There are people and resources that can help.”
Common symptoms of ovarian cancer include bloating, pelvic or abdominal pain, a feeling of fullness after eating only a little and urinary symptoms like needing to urinate more frequently. Other signs can include back pain, fatigue, indigestion, constipation and changes in bowel or bladder habits
To learn more about ovarian cancer and treatment options through IU Health, visit iuhealth.org/find-medical-services/cervical-ovarian-cancer.
Pictured: Liz Efroymson (left) and Dr. Lisa Landrum (right)