Could lower back pain be a symptom of ovarian cancer?

Yes. Ovarian cancer usually presents with abdominal pain, bloating, urinary symptoms and weight gain which would indicate spread beyond the pelvis. This pain can easily radiate to the back, due to pressure on adjacent organs, etc.
Ovarian cancer. Most people do not have symptoms until advanced stages but if symptoms occur, they may include bloating, pain, early satiety (feeling full after a few bites) or change in urinary symptoms. So, yes back pain is a possible symptom.

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