Distinguish between benign ovarian cyst or malignant, belonging to the diagnosis and treatment of tumors in the key for the class.
Neither the benign tumors in patients with cancer, as heavy mental burden, subjected to unnecessary suffering; not to malignant tumors as benign, it lacked therapeutic opportunity, irreversible consequences, distinguish between ovarian cysts are benign or malignant sometimes has some difficulties, but the following points can be identified:* History: patients with benign ovarian cyst, cyst grew long, without discomfort symptoms; and malignant ' short course, cysts grow, and sometimes associated with fever.
* In General: benign more women of child-bearing period, generally good; and the incidence of malignant are prevalent in prepubertal girls, teenagers or postmenopausal women with disease progression is rapid, early and metastatic lesions appear thin and so quickly and malignant lesions.
* Signs: benign who often one-sided, activities, smooth surface, the coating integrity, cystic, not malignant ascites; but are sometimes not for bilateral activities, and the surrounding tissue often adhesions, part for real, not smooth, the surface may wear out coated, planted in the abdominal or pelvic, uterus and rectum, au Department can touch the fixed nodules, often accompanied by bloody ascites, such as aspiration ascites check can find cancer cells.
* B-mode: healthy people as liquid of dark areas, edges, malignant, liquid scotoma light clutter, mass perimeter.
* Malignant tumor markers: tumor can often detect their markers.
* Pathologic examination: the most important differentiating by taking the focus tissue for pathological examination.
You can get focus before the surgical biopsy, or surgical removal of the tumor for comprehensive pathological examination. (Generally not do, because by the tumor proliferation)Effective methods of treatment
Ovarian cysts, once confirmed that surgery.
Unless suspected physiological cysts, short-term observation and follow-up.For benign ovarian cyst, the physician will patients age, maternity and ovarian determines the operation range, row patient ovary and fallopian tube resection or row cyst cystectomy.
Even as bilateral ovarian cyst or Visual conditions for line cystectomy, retain part of the normal ovarian tissue. The more young patients, the more we should keep ovarian as much as possible. Menopausal women are feasible before and after hysterectomy and bilateral ovarian salpingectomy.As suspected malignant ovarian cyst, i.e. early exploratory laparotomy, diagnosed as malignant tumor resection, in addition to hysterectomy and bilateral ovarian fallopian tube, but also do retroperitoneal lymph node dissection, etc., should be used after surgery and chemotherapy, radiotherapy treatment measures.
Xiaotieshi: ovarian cyst with torsion is going on?
Some medium-sized ovarian cyst, there is a longer te and gravity offset to one side (e.g., dermoid cysts).
When abdominal drastic changes, intestinal peristalsis Hyperfunction and location change of the uterus during pregnancy and sudden changes in posture, often occurring cyst torsion phenomenon, little more than half a circle, up to a few laps.Occurs after the torsion, venous return, in highly congested, vascular rupture, resulting in a tumor in a short time to grow quickly, purple black, necrosis, infection, and sometimes even rupture.
Patients can be sudden unilateral severe abdominal pain, nausea, vomiting, and even shock. Check with tenderness of palpable masses, tension is large, and abdominal muscles tense.Sometimes reversing ring fewer available natural reduction with ease, and abdominal pain.
Torsion of early diagnosis, once confirmed, surgery, it is possible to prevent ovarian necrosis.
You should pay special attention to matters of
Preventive measures
Ovarian cysts in the etiology is not clear, hard to prevent.
But if we can take some steps to be early detection and early treatment.* Women above the age of 30, annual gynecological examination, high-risk populations (unmarried women, reproductive women, have a family history of ovarian cancer in women, etc) the best half-yearly inspections.
* If the cyst with a diameter less than 5 cm, without any symptoms, may 2 to 3 months to review once; if you have abdominal pain, discomfort, possible treatment of the anti-inflammatory and blood stasis, sometimes cyst can shrink or disappear.
* If the cyst diameter greater than 5 cm or cysts in the solid part, malignant potential, early line laparoscopy or exploratory laparotomy, timely surgical resection.
* Where breast cancer, gastrointestinal cancer, patients might transfer to the ovaries, the treatment should be regularly gynecological examination.
Health link: pregnancy after ovarian cyst?
Ovarian cyst with pregnancy more common, the vast majority as benign cysts.
When in early pregnancy can cause pelvic cyst embedded, medium-term abortion prone cyst torsion, advanced when cyst larger may result in fetal position where the exception, if the cyst can lead to lower birth canal obstruction, childbirth, dystocia cyst of the possibility of rupture.Pregnant women with symptoms of ovarian cysts, are generally not clear, often in natal check occasionally found.
When the gynaecologist during early pregnancy in doing pelvic examination can be found mainly on the medium-term future, b-scan in the diagnosis.Early pregnancy with ovarian cyst to wait until pregnancy 3 ~ 4 months after surgery should avoid induced abortion.
In late pregnancy should wait to discover cyst, to full-term pregnancy, parturition birth canal once if cysts blocking should line cesarean section, while for cysts. If the diagnosis of malignant ovarian cyst, early surgery should not be taken into account the fetus, principles of management and non-pregnant.Health link: physical examination and found what to do with ovarian cyst
?Ovarian cysts mostly belong to benign, such as Ovarian Tumor-like lesions and benign serous cystadenoma, Mucinous cystadenoma, etc.
But because the serous cystadenocarcinoma and Mucinous cystadenocarcinoma also half of real half cystic, sometimes in newly diagnosed, may also be diagnosed as ovarian cyst, ovarian cyst, when found, particularly adolescent girls before and after menopause, women should not be taken lightly, should actively further checks to clear diagnosis to avoid delays in treatment.(Practice editing: Tan Claudia)
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