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Left ovarian cyst, CA125:. How should it be**?
Ovarian cysts are "uninvited guests" on the ovaries, and their appearance not only affects a woman's pregnancy, but also threatens a woman's health. Therefore, it is quite important to ** ovarian cyst as early as possible. Ovarian cysts are benign, malignant, and borderline, and not all cysts require surgery.
If the cyst is larger than 5 cm or compresses the surrounding tissues, surgery is necessary**. In the past, due to the constraints of the conditions**, ovarian cysts were mostly performed by laparotomy. However, some of the ovaries are directly removed by surgical methods, which will have a considerable impact on the reproductive and endocrine functions of the patients.
Therefore, traditional laparotomy is able to ** ovarian cysts. But this is not the best and most humane way of surgery. Nowadays, the wide application of laparoscopic minimally invasive techniques has made the most invasive ovarian cysts evolve from laparotomy in the past to minimally invasive techniques with minimal trauma.
Shenjiang Minimally Invasive adopts laparoscopic minimally invasive technology** ovarian cyst, so that doctors can see the image from the TV screen during the operation, which is several times clearer than the actual image, and develops from plane observation to three-dimensional observation, which greatly reduces the blindness of the operation, no missed diagnosis, no misdiagnosis. 2011-7-23 10:14:43
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Don't worry too much, mindset be.
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I believe you have also passed the clinical significance of CA125 representatives:
Clinical significance of CA125.
Other influencing factors: pelvic inflammatory disease, endometriosis, menstruation, ovarian cysts, uterine fibroids, chronic hepatitis, pancreatitis, cholecystitis, pneumonia, etc. will be elevated. Xiao Jiancun, Department of Gastroenterology, Beijing Jingmei Group General Hospital.
CA125 is the preferred marker for ovarian and endometrial cancer, and if a positive limit of 65 U mL is used, the accuracy rate of stage - cancer can reach 100%. CA125 is by far the most important indicator for early diagnosis, efficacy observation, prognostic judgment, surveillance** and metastasis of ovarian cancer. The combination of CA125 measurement and pelvic examination increases the specificity of the test.
The coincidence rate for the diagnosis of fallopian tube, endometrial cancer, cervical cancer, breast cancer and mesothelial cell carcinoma is also high, and the positive rate of benign lesions is only 2%. Elevated levels of CA125 are a signal of female germline tumors**.
Dynamic observation of serum CA125 concentration is helpful for the prognosis evaluation and control of ovarian cancer, after **, the CA125 content can be significantly reduced, if it cannot return to the normal range, the possibility of residual tumor should be considered. Serum Ca125 concentrations greater than 35 mL in 95 patients with residual tumors. In the case of ovarian cancer**, CA125 can be elevated several months before clinical diagnosis, and the serum CA125 in patients with metastasis of ovarian cancer is significantly higher than the normal reference value.
Elevated CA125 can also be seen in ascites due to various malignancies. Elevated CA125 can also be seen in a variety of ** benign diseases, such as ovarian cysts, endometrial disease, cervicitis and uterine fibroids, gastrointestinal cancer, liver cirrhosis, hepatitis, etc.
The above is the encyclopedia's explanation of the clinical significance of CA125, your CA125 value is still quite high, it can only be said that the possibility of malignancy is relatively large, not 100% certain, you look at the most two lines above me, "CA125 elevation can also be seen in a variety of ** benign diseases, such as ovarian cysts, endometrosis, cervicitis and uterine fibroids, gastrointestinal cancer, liver cirrhosis, hepatitis", there are also some common diseases that will also lead to this CA125 elevation.
I recommend that you go to the hospital where you are treated and have a pathological biopsy, which is a golden indicator.
Hope it helps.
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Don't think too much. Actual.
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A mere one doesn't mean anything.
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Laparoscopic surgery is recommended for ovarian tumors, but the gastrointestinal symptoms you mentioned have nothing to do with ovarian tumors, and I am afraid that you still need to see a Chinese medicine doctor or consult a gastroenterologist. If you really don't want to do it, you must have a repeat** ultrasound every year, once it is significantly enlarged, or the whole is more than 4cm, or the tumor has a blood flow signal, you must have surgery as soon as possible. In addition, it is more likely that your ovarian tumor is teratoma, and the biggest problem with teratoma is the sudden reversal of the stalk, once it occurs, if the doctor is not in time, it can lead to the need to remove the ovary on the affected side.
So you'd better be careful. This surgery is not too difficult. Normally, we will be discharged from the hospital within three days after surgery.
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Problem analysis: The lesion site of the ovarian cyst grows in different positions, and it should be noted that you should go to the hospital in time, especially if the ovaries need to be removed after the ovarian cyst grows, it will have a greater impact on the body, and if the ovaries are removed on both sides, there will be no fertility. If the diameter of the cyst is less than 5 cm, and it is not a swelling bridge, it is generally a functional cyst with a greater likelihood, and there is no need for special **, as long as it is closely followed, it is generally rechecked once every 2-3 months, and then the examination interval will be adjusted according to the situation.
Suggestions: If the diameter of the cyst is more than 5 cm, then it is an ovarian tumor, and surgery is generally required, and drugs cannot have an effect.
B-ultrasound is generally not certain, because it can't tell you what kind of cyst it is, maybe it's an ovarian cyst, maybe it's a chocolate cyst, because you have menstrual cramps, as long as you have surgery, you don't know what it is. Also, your cyst is not big, surgery is not recommended, only more than 5cm surgery, small can be controlled by medicine, for your situation, you have a period of time when the cyst disappears, in fact, it has to do with your mood, but also work and rest, try to adjust your diet, eat some healthy food. Keep your mood cheerful. >>>More
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