In life, we will see many women going to the hospital to study gynecology. He was always in a depressed mood after coming out. In fact, it is nothing more than a problem with the ovaries and uterus, but did you know? Ovarian teratoma usually occurs in women of pregnant age. So we must check the body properly.
When it comes to ovarian teratoma, many people think that it is related to abnormal embryos. In fact, ovarian teratoma is derived from ovarian germ cells. Its pathogenesis mainly includes the parthenogenesis theory and the totipotent cell theory. A common ovarian tumor , accounting for about 15% of the total number of primary ovarian tumors.
Ovarian teratoma commonly occurs in women of childbearing age.
Ovarian teratoma is often mistaken for a "teratoma" after pregnancy or one of the unborn twins. In fact, it has nothing to do with whether you are married or pregnant, because teratoma does not develop after fertilization. Teratoma is brought from the mother. During the maternal embryonic development period, some germ cells are "lost" during the migration process. It can occur in women of all ages, but is more common in young women of childbearing age. There are many types of teratomas without typical symptoms, so early detection is not easy. Even some abdominal distension and pain are often mistaken for indigestion or other digestive tract diseases. If you can touch or feel a mass in your abdomen, the tumor is usually more than 10 centimeters in diameter.
Because there is a certain amount of space in the abdominal cavity of women, sometimes even if the abdominal circumference is normal, there is actually a tumor of seven to eight centimeters in the abdomen. Therefore, it is best for women to have regular check-ups. Not only married women, but all women of childbearing age should have regular gynecological check-ups. Pelvic ultrasound is a common method for diagnosing ovarian teratoma. Teratomas are composed of different tissues, so a special sonogram will appear during B-ultrasound examination to help doctors distinguish them from other ovarian masses. The accuracy rate of ultrasound in diagnosing ovarian teratoma is 98%, and the diagnosis can even be made when the tumor is only 1 cm in size.
Surgery should be performed as soon as possible after discovery without delay.
Germ cells are cells that can differentiate into various tissues of the human body. Therefore, ovarian teratomas will contain skin, hair, grease, teeth, cartilage and other components, and the proportion of these tissues Different, the center of gravity of the tumor is often biased to one side. When the body rotates, the ovarian tumor twists from the pedicle. Once torsion occurs, it will cause ischemic necrosis of ovarian tissue, or induce tumor rupture, causing severe chemical peritonitis. In addition, about 4% of ovarian teratomas will undergo malignant transformation. Therefore, in order to avoid complications such as tumor torsion, rupture, infection, and malignant transformation, once an ovarian teratoma is diagnosed, it must be removed immediately.
For women of childbearing age, cyst removal is mostly used to preserve the normal tissue and function of the ovaries; women who have already stopped menopause can consider ovarian removal. Once the teratoma pedicle is confirmed to be torsion or ruptured, emergency surgery should be performed immediately. The scope of surgery can include resection of the affected side's appendages, removal of the affected side's teratoma, and/or biopsy of the contralateral ovary. The surgical method can be laparoscopic or open. The benign or malignant teratoma can be initially judged based on the intraoperative findings. If a malignant tumor is suspected, a pathological examination should be performed as soon as possible. malignant teratoma should also try to perform complete staging surgery. For young patients with malignant teratoma who want to have children, fertility-preserving surgery can be considered.
After reading this article, we know that we can never ignore our body at any time, so we must have regular check-ups every year. Only in this way can we prevent problems before they occur. Of course, if an ovarian malformation is discovered, surgery must be performed in time. Because this disease becomes more serious the longer it is delayed, and it will be more harmful to your health.
