What to do about ovarian teratoma and what is ovarian teratoma

Updated on healthy 2024-03-22
3 answers
  1. Anonymous users2024-02-07

    Hello, teratoma is a congenital tumor, which is mostly developed from the ectopic development of some multipolar cells during the development of the embryonic primordial base. It contains trigerm layer tissue, and a variety of tissues and cells can be seen histologically. It can be divided into two categories:

    Dermoid cysts (cystic teratomas) and teratomas. The tumor may be malignant, malignant teratoma. Tumors are more common in young or middle-aged people, and there may be no obvious clinical symptoms.

    When the tumor is large, there may be corresponding compression symptoms. The malignant teratoma mass grows rapidly and has obvious symptoms. Imaging findings:

    Tumors usually occur in the anterior mediastinum, and most of them grow laterally and vary in size. CT is the best way to diagnose teratomas. Cystic teratomas have thin walls with soft tissue density and may be calcified.

    The density of the fluid in the sac is generally uniform. It has a watery density and a low density when it contains a lot of lipids. Parenchymal teratomas are pleomorphic and mixed in density.

    Clinical diagnosis is generally not difficult. However, diagnosis can be difficult if the presentation is atypical or located in the middle and posterior mediastinum. The differential diagnosis is mainly distinguished from thymic lipoma, thymoma, thymic lymphohemangioma, hamartoma, and neurogenic tumor.

    If the tumor has recently enlarged significantly, the margins are not clear, lobulated, or the shape is irregular, and the tumor has a uniform soft tissue density, malignant transformation should be considered.

    There is no relationship between teratoma and egg or pregnancy.

    Methods for treating teratomas.

    1. You can also do tumor anti-carcinogenesis testing, such as pathological tests, you should apply for frozen sections to avoid the occurrence of secondary surgery.

    2. After surgery, pregnancy can be achieved as long as normal ovarian function is restored. After the diagnosis of teratoma, surgery is advisable as soon as possible.

    3. Teratoma is indeed divided into benign and malignant, but malignant teratoma is different from other ovarian malignant tumors, teratoma is formed by another embryo in the development of fetal embryo, and does not belong to the patient's own tissue, benign and malignant does not represent the nature of the patient's own ovarian tissue, as long as the operation is fine and skilled, it will be able to completely isolate the teratoma and retain the patient's own ovarian tissue, so no matter whether the teratoma is benign or malignant, it is not necessary to remove the ovaries. Laparoscopic surgery has a wide field of view and magnification, and the ovary where the teratoma is located is put into a plastic bag, which can completely remove the teratoma tissue without polluting the abdominal cavity, and at the same time facilitate the exploration of the contralateral ovary (more than 50% of teratomas are bilateral sequential onset) Therefore, teratoma surgery does not need to open the abdomen. On the surgical consent form, if there is a possibility of laparotomy or malignant teratoma requiring ovarian removal, do not sign it, which means that the hospital is not skilled in laparoscopic technology and does not have sufficient understanding of malignant teratoma.

    Once the ovaries are removed, the patient quickly enters menopause, and there is no salvage. It should fall into the category of excessive**.

    Good luck soon**!

  2. Anonymous users2024-02-06

    Problem Analysis: Hello! Your ultrasound suggests a possible right-sided ovarian teratoma.

    Surgery is recommended**... Suggestions: There is no conservative method, teratoma is benign and malignant, must be surgically surged, sent to rapid pathology during the operation, if it is a benign teratoma, only need to remove the tumor, the right ovary can be retained, if it is a malignant teratoma, the ovary needs to be removed.

  3. Anonymous users2024-02-05

    Ovarian teratoma is a common ovarian nest germ cell tumor. Ovarian teratomas are mainly pelvic masses, and some patients experience acute abdominal pain due to ruptured, torsional, or bleeding tumors. Most ovarian teratomas are benign mature teratomas, and only a small number are malignant teratomas.

    Ovarian teratomas are usually made up of 2-3 germ layers. According to the histopathological type, it can be divided into mature teratoma, immature teratoma and ovarian goiter. The most common of mature teratomas is mature cystic teratomas, also known as dermoid cysts.

    Mature cystic ovarian teratoma has a smooth surface and intact capsule, with a diameter of about 10 cm. The sac contains sebum and hair, and sometimes the scolices made up of teeth, bones, and scalp are visible, with the scolices protruding into the cavity. Ovarian teratomas containing neurological components are classified as immature teratomas, and immature ovarian teratomas vary in degree of differentiation and have mixed components ranging from carcinoma to sarcoma.

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