Is the recurrence rate of ovarian benign teratoma high? According to statistics, the probability of recurrence of benign teratoma is not high. Most of them can be cured by surgery, but there are also some people who have had surgery, and benign teratoma still recurs. In fact, there are two main reasons for recurrence of benign teratoma. Let's take a look.
1, the operation was not completely removed.
Under normal circumstances, if you want to treat benign teratoma, you need to remove it completely by surgery. However, it does not rule out that a part of the cyst wall tissue still exists because it was not done thoroughly before the operation. With the development of time, teratoma is gradually formed, which is also called benign teratoma recurrence. In order to ensure that this does not happen, it is suggested that you must find a regular hospital for surgery and do a good job of examination after the operation.
2, other tissue growth teratoma
It should be clear to all that teratoma is the germ cells of human body, but it is formed by the mutation of human germ cells. Although it has been removed by surgery before, it does not rule out its growth again. For female friends, although the teratomas that have been found have been removed before, as long as the ovaries are still there, other tissues may still grow teratomas, so we can't have an operation every time we find one. In fact, if the teratomas are small,
There are two main reasons for the recurrence of teratoma. In fact, we don't have to be too afraid of teratoma. Under normal circumstances, teratoma is benign, and the probability of recurrence is very small. As long as you take formal treatment, take good care after surgery, develop a good life and rest, and cooperate with Chinese medicine for treatment, you will soon recover, and it will not have a great impact on your body.
B-ultrasound manifestations of benign teratoma Benign cystic teratoma is one of the most common ovarian tumors, which can occur at any age, but 80% ~ 90% of the patients are women of childbearing age, so it is the goal and responsibility of ultrasound workers to make a correct diagnosis in time. Finding the echo of the mass is the focus of B-ultrasound examination. It is generally not difficult to make a diagnosis according to some specific ultrasounds of teratoma if there is a cystic mass in the adnexa of uterus. The coincidence rate of diagnosis is 80% ~ 90% according to domestic and foreign literatures. However, this disease is often differentiated from chocolate cyst. Chocolate cyst is often accompanied by a history of dysmenorrhea, which tends to get worse year by year, and the sonogram can evolve with the menstrual cycle. Cystic teratoma is mostly located at the bottom of uterus, with pedicle and high density, which is prone to pedicle torsion and causes acute abdomen. At this time, it should be differentiated from ectopic pregnancy and acute appendicitis. Ectopic pregnancy has a history of menopause, a small amount of irregular bleeding in the vagina, or a positive urine pregnancy test. The ultrasound images are mostly mixed masses with hydrops in the abdomen and pelvis. Acute appendicitis generally has no mass echo.
Teratoma is a kind of germ cell-derived tumor, and its specific mechanism is still unclear. However, the vast majority are benign, and malignancy is rare. In addition to the ovary, it also occurs in sacrococcygeal bone, brain, testis and stomach. Ovarian teratoma is also a kind of ovarian cyst, but the components in the cyst are strange and unusual, which may include oil, hair, bones, teeth, nerve tissue, skin and so on. So it's called teratoma. It's not a parasitic fetus left in your body when your mother was pregnant with you, and it's not that you accidentally got pregnant with a freak.
As soon as I find a teratoma, I feel uncomfortable in my lower abdomen? Well, it's mostly psychological. Simple ovarian teratoma will not cause any discomfort, it just grows quietly. However, the components in teratoma are complex, so the center of gravity of the tumor is unbalanced. Compared with other cysts, it is more prone to torsion of the cyst with the ovary, which can cause severe abdominal pain, accompanied by nausea and vomiting. Moreover, this is a cyst derived from germ cells, and a very young girl may get sick. I once had a patient who said that when he was 6 years old, he was twisted because of ovarian teratoma, and his ovary died. Finally, he had an appendix (ovary+fallopian tube) removed in an emergency. Another common problem is the rupture of ovarian teratoma. When the pressure in the abdominal cavity suddenly increases, such as constipation, hard defecation and abdominal impact, the cyst may rupture, which will cause abdominal pain, internal bleeding and shock. This also requires emergency surgery.
How to make sure it's not malignant? We know that most ovarian teratomas are benign, but a small part may be malignant. First of all, it is necessary to judge whether an ovarian cyst is a teratoma. This can be checked by B-ultrasound. The pluripotent cells divide abnormally, resulting in teratoma. It naturally grows in your body and grows with age. Generally, it can be observed within 3 cubic centimeters, just don't worry about it, because it may be absorbed by your own body. 5 cubic centimeters of clothes need surgery to remove most of them. If it contains bones or teeth, you can also take a pelvic X-ray. Of course, CT or MRI is also possible, but it is a little expensive. Secondly, we need to roughly judge whether teratoma is malignant: if teratoma is big enough, then surgery is ok, because pathological diagnosis is the gold standard; If the teratoma is still small, you can check the B-ultrasound every 2-3 months. If the increase is not obvious and the blood supply is not rich, most of them are benign; It can also be combined with the examination of tumor indicators, such as AFP, and there is a risk of malignancy if it increases.
Can you arrange the operation directly? The composition of teratoma is very strange, which determines that it is impossible for this cyst to disappear on its own, and there is no medicine to control it not to grow or shrink. Therefore, ovarian teratoma, finally only surgery this solution. However, although teratoma ultimately has only surgery, when it is still very young, it will not bring any discomfort, so we can leave it alone for the time being. If it is too small, you have to operate, and you may not find a small teratoma during the operation. We can check the B-ultrasound regularly, and when we find that the teratoma grows to 4-5cm, we can come back for surgery, which is usually too late. When ovarian function is good, such as menstrual regularity, in this case, we will choose teratoma removal surgery. Unless the intraoperative rapid freezing pathology suggests malignant teratoma, or it is close to menopause and ovarian function declines, the patient will be advised to remove the appendages (ovary and fallopian tube) on this side.
Ovarian cyst removal surgery is relatively simple. At present, laparoscopic minimally invasive surgery is almost adopted to completely peel off cysts and try to preserve normal ovarian tissue so as not to affect ovarian function. Then take it out with a special bag and send it for pathological examination. The remaining ovaries are properly sutured and stopped bleeding. Can ovarian teratoma affect pregnancy? We know that the ovary produces eggs and hormones, which are necessary for pregnancy. Under normal circumstances, ovarian teratoma will not affect ovarian function, unless the teratoma is particularly large, which may damage ovarian tissue a little, which will affect ovarian function a little.